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Individual

DR. KATHRYN MILLS HOLLINS LIZARRIBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3600 FOREST DR STE 300, COLUMBIA, SC 29204-4057
(803) 749-5101
Mailing address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 935-7140

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37095
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370958
SC
Enumeration date
06/09/2014
Last updated
09/10/2020
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