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1902903008
BRADLEY K. HOLT
COLUMBIA, SC
NPI
1902903008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 3369)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- BRADLEY K. HOLT PA-C
704 BRIDGECREEK DR
COLUMBIA, SC 29229-8908
Phone number: 803-234-5423
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Mailing Address
-- BRADLEY K. HOLT PA-C
704 BRIDGECREEK DR
COLUMBIA, SC 29229-8908
Phone number: 803-234-5423
Copy
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