| India Kenyonda Holloway, MD | |
|
701 Grove Rd Fl 5, Greenville, SC 29605-4210 | |
| (864) 455-4411 | |
| (864) 455-4480 |
| Full Name | India Kenyonda Holloway |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 701 Grove Rd Fl 5, Greenville, 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 |
|---|---|---|---|
| 1750721668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD35938 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 75673 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 35938 (South Carolina) | Primary |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Laureate Medical Group At Northside, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811037336 PECOS PAC ID: 2668458530 Enrollment ID: O20040629001613 |
| Entity Name | Muscogee Hospitalist Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639681851 PECOS PAC ID: 8921368564 Enrollment ID: O20180130003094 |
| Entity Name | Benning Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613 |
| Mailing Address | Practice Location Address |
|---|---|
| India Kenyonda Holloway, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6308 | India Kenyonda Holloway, MD 701 Grove Rd Fl 5, Greenville, SC 29605-4210 Ph: (864) 455-4411 |
Artur Adam Charowski, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-220-7270 Fax: 864-220-7290 | |
Jamie Davis Freelin, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor Support Tower, Greenville, SC 29605 Phone: 864-455-7882 Fax: 864-455-5008 | |
Robert Brunson Cartledge Jr., M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 644-548-1258 | |
Dr. Morgan Abrial Ball, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 | |
Nicholas Eugene Perkins, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 | |
Susanne Giana Bentley, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 | |
Dr. Jennifer Erin Harris, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7000 Fax: 864-455-4480 |