| Dr David O Holman Jr, MD | |
| 
					1023 Creekside Medical Dr, York, SC 29745-8624  | |
| (803) 684-3738 | |
| (803) 684-3808 | 
| Full Name | Dr David O Holman Jr | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 1023 Creekside Medical Dr, York, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942263116 | NPI | - | NPPES | 
| 070595 | Medicaid | SC | |
| 5915486 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 7059 (South Carolina) | Primary | 
| Entity Name | Piedmont Physician Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr David O Holman Jr, MD 1023 Creekside Medical Dr, York, SC 29745-8624 Ph: (803) 684-3738  | Dr David O Holman Jr, MD 1023 Creekside Medical Dr, York, SC 29745-8624 Ph: (803) 684-3738  | 
Dr. Donald W. Shuler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1023 Creekside Medical Dr, York, SC 29745 Phone: 803-684-3738 Fax: 803-684-3808  | |
Dr. Henry F. Crotwell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1023 Creekside Medical Dr, York, SC 29745 Phone: 803-684-3738 Fax: 803-684-3808  | |
Ernest Lee Miller, BUSINESS OWNER Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 Pecan Cir, York, SC 29745 Phone: 803-526-0630  | |
Dr. Shelaila N Villamor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Creekside Medical Dr, York, SC 29745 Phone: 803-684-3738 Fax: 803-684-3808  | |
Aida Jacic, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Creekside Medical Dr, York, SC 29745 Phone: 803-684-3738 Fax: 803-684-3808  | |
Dr. Aydrian Leshawn Thomas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1795 Devinney Road, York, SC 29745 Phone: 803-818-5995 Fax: 803-818-5985  | |
Dr. Michael Lance Queen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1190 Filbert Hwy, York, SC 29745 Phone: 803-628-0004  |