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HOLLAND BROWN CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0004
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
27491
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN155538
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
536151446A
GA
05
536151446B
GA
05
536151446C
GA
01
550789920
TRICARE
GA
05
GAN780
SC
Enumeration date
01/04/2007
Last updated
01/09/2025
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