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Individual

MR. VERTIS L HOLLEY SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
140 ALPINE DR APT SUITE, AIKEN, SC 29803-9712
(803) 979-0240
Mailing address
140 ALPINE DR, AIKEN, SC 29803-9712
(803) 646-7766

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
SC

Other

Enumeration date
02/07/2022
Last updated
02/07/2022
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