Individual
TARA HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 522-6900
(864) 255-5919
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
89550
SC
Other
Enumeration date
03/31/2016
Last updated
07/07/2023
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