Provider Demographics
NPI:1285826347
Name:HOLCOMBE, SHARON LANE (MS APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LANE
Last Name:HOLCOMBE
Suffix:
Gender:F
Credentials:MS APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 E GREENVILLE ST
Mailing Address - Street 2:SUITE 3850
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1580
Mailing Address - Country:US
Mailing Address - Phone:864-716-6024
Mailing Address - Fax:864-716-6116
Practice Address - Street 1:2000 E GREENVILLE ST
Practice Address - Street 2:SUITE 3850
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1580
Practice Address - Country:US
Practice Address - Phone:864-716-6024
Practice Address - Fax:864-716-6116
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
1716OtherSC LICENSE
SCNP1142Medicaid
SCSC57583619Medicare PIN
SC8768Medicare PIN