Organization
DISC RADIOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C HOLGATE MD (OWNER)
(843) 884-2175
Entity
Organization
Contact information
Practice address
1341 OLD GEORGETOWN RD, SUITE C, MOUNT PLEASANT, SC 29464-7307
(843) 884-2175
(843) 884-9670
Mailing address
PO BOX 2352, COLUMBIA, SC 29202
(843) 884-2175
(843) 884-9670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ9737
RAIL ROAD MEDICARE
SC
05
—
GP3472
—
SC
Enumeration date
08/10/2006
Last updated
03/05/2008
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