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Individual

DR. LISA T WILLIAMS-HOLLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
9610 TWO NOTCH RD STE 7, COLUMBIA, SC 29223-1601
(803) 722-6001
(803) 661-7005
Mailing address
122 CAMBERLEY CT, COLUMBIA, SC 29223-6725
(706) 399-4916
(803) 661-7005

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4133
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4133
SC STATE LICENSE
SC
05
NP2477
SC
Enumeration date
01/12/2011
Last updated
10/10/2024
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