Individual
JOHN PAUL HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 497-5929
(843) 839-4448
Mailing address
4615 OLEANDER DR, SUITE 103, MYRTLE BEACH, SC 29577-5741
(843) 497-5929
(843) 839-4448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1916
SC
Other
Enumeration date
02/13/2013
Last updated
03/28/2013
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