Individual
HOLLY NICHOLE MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
103 WHITETAIL DR, WALHALLA, SC 29691-5837
(864) 638-3444
(864) 638-3445
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36722
SC
207Q00000X
Family Medicine Physician
LL36722
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367222
—
SC
01
—
SCA980
MEDICARE
SC
Enumeration date
06/18/2014
Last updated
03/16/2022
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