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Individual

MRS. ANN HAMILTON HOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PNP

Contact information

Practice address
811 W MAIN ST STE 204, LEXINGTON, SC 29072-2500
(803) 359-8855
(803) 359-1257
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 359-8855
(803) 359-1257

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
816893
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
23488
SC
363LP0200X
Pediatric Nurse Practitioner
95002846
CA

Other

Enumeration date
08/31/2015
Last updated
04/19/2023
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