Individual
MRS. HOLLY RENE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 E MEDICAL LN, WEST COLUMBIA, SC 29169-4814
(803) 936-7210
Mailing address
120 E MEDICAL LN, WEST COLUMBIA, SC 29169-4814
(803) 936-7210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4464
SC
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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