| Holly Tree Family Practice | |
|
1338 Highway 14 Simpsonville SC 29681-5637 | |
| (864) 297-7091 | |
| (877) 379-3079 |
| Full Name | Holly Tree Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1338 Highway 14, Simpsonville, South Carolina |
| Authorized Official Name and Position | Wilbur R Gay (CFO) |
| Authorized Official Contact | 8646053762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Tree Family Practice Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 297-7091 | Holly Tree Family Practice 1338 Highway 14 Simpsonville SC 29681-5637 Ph: (864) 297-7091 |
| NPI Number | 1306828587 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306828587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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