Individual
CHERYL HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 549-0222
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 549-0222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
271004
SC
Other
Enumeration date
07/25/2023
Last updated
02/07/2025
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