Individual
HAILEY JADE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(805) 791-8326
Mailing address
2 KRACKE ST, CHARLESTON, SC 29403-6732
(805) 791-8326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
276640
SC
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95254948
CA
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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