Individual
KEITH HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 EDGEFIELD HWY, AIKEN, SC 29801-9423
(803) 640-1530
Mailing address
3177 HEARTWOOD PASS, AIKEN, SC 29803-9796
(803) 640-1530
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
4576
SC
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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