Individual
HOLLY LYNN GROOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, ACNP-BC
Contact information
Practice address
2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169-6502
(803) 744-4900
(803) 744-4938
Mailing address
PO BOX 896258, CHARLOTTE, NC 28289-6258
(803) 744-4900
(803) 744-4938
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4474
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114226792
NPI
—
05
—
NP1938
—
SC
Enumeration date
03/21/2011
Last updated
08/23/2024
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