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Individual

MRS. MARIANNE LEAL HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP

Contact information

Practice address
719 OKATIE HWY # 170, OKATIE, SC 29909-3963
(843) 987-7400
Mailing address
PO BOX 9, WALTERBORO, SC 29488-0001
(843) 844-8400

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN 116
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN 116
LICENSE
SC
05
NP0455
SC
Enumeration date
05/03/2006
Last updated
03/07/2023
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