Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | LL33916 | SC |
N | 111NI0900X | Internist | LL33916 | SC |
Y | 207RR0500X | Rheumatology | 33916 | SC |
NPI | 1134415110 |
---|---|
Provider Name | Dr. Nicholas Holdgate |
First Address | Summerville, SC 29486-7881 |
Second Address | Summerville, SC 29486 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2011 |
Last Update Date | 12/11/2020 |