Individual
DR. PRISCILLA WILCOX HOLTZCLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SALTERBECK CT, STE 100, MT PLEASANT, SC 29466-7118
(843) 971-3361
(843) 971-8492
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24134
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241349
—
SC
01
—
P00775520
RAILROAD MEDICARE ID - EFFECTIVE 5/11/2009
SC
Enumeration date
11/17/2005
Last updated
10/19/2015
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