Individual
PRISHAL CHETTY HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1228 HARDEN ST, COLUMBIA, SC 29204-1800
(803) 733-5969
(803) 748-9953
Mailing address
1228 HARDEN ST, COLUMBIA, SC 29204-1800
(803) 733-5969
(803) 748-9953
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
LL29859
SC
208000000X
Pediatrics Physician
Primary
LL29859
SC
Other
Enumeration date
07/13/2007
Last updated
12/21/2011
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