Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO1532 | SC |
NPI | 1134239049 |
---|---|
Provider Name | Dr. Anthony E Holt |
First Address | Greenwood, SC 29648-3193 |
Second Address | Greenwood, SC 29646-8025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 04/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015325 | (05) | SC |