Doctor Name: | MS. LOUISE C. HOLMES |
NPI Number: | 1104811355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MN,RN, CANP |
License Number: | 00017537 |
Business Practice Address: | 7430 College St Irmo, SC - 290632903 |
Business Phone Number: | 8037324001 |
Business Fax Number: | 8037322123 |
Mailing Address: | Po Box 402145, ATLANTA |
State: | GA |
Postal Code: | 303842145 |
Phone Number: | 8032967305 |
Fax Number: | 8032967330 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 12/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 00017537 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |