Individual
HOLLIE RAYE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35800
SC
208000000X
Pediatrics Physician
Q8051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358008
—
SC
05
—
360007401
—
TX
05
—
360007402
—
TX
Enumeration date
06/11/2013
Last updated
10/14/2024
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