SAMANTHA LAKE HOLLIS

EASLEY, SC
NPI1427408855
Former NameSAMANTHA ANN LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  83048)
Enumeration Date2016-06-16
Last Update Date2023-02-23
Business Address
SAMANTHA LAKE HOLLIS DO
764 SACO LOWELL RD
EASLEY, SC 29640-3880
Phone number: 864-855-5525
Mailing Address
SAMANTHA LAKE HOLLIS DO
764 SACO LOWELL RD
EASLEY, SC 29640-3880
Phone number: 864-855-5525
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