Individual
DR. CAROLYN D HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
541 OXFORD ST, SUMTER, SC 29150-3333
(803) 418-0362
(803) 934-9432
Mailing address
541 OXFORD ST, SUMTER, SC 29150-3333
(803) 418-0362
(803) 934-9432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3572
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
739618
UNITED CONCORDIAPROVIDER#
SC
01
—
88008703
BCBSAL PROVIDER #
SC
05
—
ZX3572
—
SC
Enumeration date
01/09/2006
Last updated
05/27/2010
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