Individual
JAMES HOLLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL PARK DR, CHESTER, SC 29706-9769
(803) 581-3151
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0004913
CO
363A00000X
Physician Assistant
Primary
2681
SC
Other
Enumeration date
03/29/2017
Last updated
10/23/2020
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