Individual
DR. PAUL DOUGLAS DEHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203-6882
(803) 296-7846
(803) 296-9699
Mailing address
PO BOX 22265, BELFAST, ME 04915-4473
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
24024
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T79821
—
SC
Enumeration date
08/02/2005
Last updated
03/21/2018
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