Individual
HOLLIS LADSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
248 LUZ DR, GEORGETOWN, SC 29440-9036
(813) 590-9880
Mailing address
248 LUZ DR, GEORGETOWN, SC 29440-9036
(813) 590-9880
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
106197389
SC
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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