Organization
PIEDMONT INTERNAL MEDICINE OF GREENWOOD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W HOLMAN M.D. (PRESIDENT)
(864) 227-1115
Entity
Organization
Contact information
Practice address
104 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-1115
(864) 227-2046
Mailing address
104 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-1115
(864) 227-2046
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F549
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487837514
NPI
SC
Enumeration date
12/27/2010
Last updated
12/27/2010
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