Organization
DISC DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CECIL HOLGATE MD (OWNER)
(843) 884-2175
Entity
Organization
Contact information
Practice address
1336 OLD GEORGETOWN RD, MOUNT PLEASANT, SC 29464
(843) 884-2175
(843) 884-9670
Mailing address
1336 OLD GEORGETOWN RD, MOUNT PLEASANT, SC 29464
(843) 884-2175
(843) 884-9670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14329
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4542
—
SC
01
—
P00365625
RR MEDICARE
SC
Enumeration date
10/17/2006
Last updated
02/11/2008
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