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Individual

THOMAS J HOLBROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14 RICHLAND MEDICAL PARK DR STE 350, COLUMBIA, SC 29203-6896
(803) 434-1663
(803) 434-3894
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36914
SC
207T00000X
Neurological Surgery Physician
BP10044577
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
369149
SC
Enumeration date
06/06/2012
Last updated
07/18/2023
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