Individual
JOHN DAVID DEHOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 MONTGOMERY DR, ANDERSON, SC 29621-3334
(864) 276-0056
Mailing address
112 MONTGOMERY DR, ANDERSON, SC 29621-3334
(864) 276-0056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7562
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075625
—
SC
Enumeration date
08/05/2006
Last updated
04/27/2010
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