Individual
HOLLY MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3515 CADUCEUS DR, SUITE A, MYRTLE BEACH, SC 29588-2922
(843) 293-7085
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 293-7085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4179
SC
235Z00000X
Speech-Language Pathologist
Primary
SL014032
PA
235Z00000X
Speech-Language Pathologist
SLP007024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4179
LICENSE
SC
Enumeration date
10/02/2007
Last updated
02/27/2019
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