Individual
JONATHAN MCKEY HOLLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1797 MAIN RD, JOHNS ISLAND, SC 29455-3447
(843) 559-7889
(843) 559-2355
Mailing address
4600 GOER DR STE 210, NORTH CHARLESTON, SC 29406-6536
(843) 744-5527
(843) 746-9246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1013
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9189
PALMETTO GBA
SC
Enumeration date
03/13/2020
Last updated
06/30/2020
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