person
Bradley K. Holt, PA-C
Medical Physician Assistant in Columbia, South Carolina
NPI 1902903008

Bradley K. Holt is a Medical Physician Assistant based in Columbia, SC and is specialized in Medical. Bradley K. Holt practices in Columbia, SC and has the professional credentials of PA-C. The NPI Number for Bradley K. Holt is 1902903008 and holds a License No. 3369 (South Carolina).

The current practice location address for Bradley K. Holt is 704 Bridgecreek Dr, Columbia, SC and can be reached out via phone at 803-234-5423.

Location: 704 Bridgecreek Dr, Columbia, SC, 29229-8908
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Provider Profile Details
NPI Number
1902903008
Provider Name
Bradley K. Holt
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
704 Bridgecreek Dr, Columbia, SC, 29229-8908
Phone Number
803-234-5423
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00403356E 05 GA
institution
Provider Business Practice Location Address Details
Address
704 Bridgecreek Dr
City
State
Zip
29229-8908
Phone Number
803-234-5423
Fax Number
person
Provider Business Mailing Address Details
Address
704 Bridgecreek Dr
City
State
Zip
29229-8908
Phone Number
803-234-5423
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3369 (Georgia)
Definition
Definition to come...
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