Provider Demographics
NPI:1508524745
Name:OPEN HANDS DOCTORS FAMILY PRACTICE LLC
Entity Type:Organization
Organization Name:OPEN HANDS DOCTORS FAMILY PRACTICE LLC
Other - Org Name:OPEN HANDS NURSING TELEHEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:843-621-3641
Mailing Address - Street 1:1951 PISGAH RD STE 104
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6705
Mailing Address - Country:US
Mailing Address - Phone:184-362-1364
Mailing Address - Fax:
Practice Address - Street 1:1951 PISGAH RD STE 104
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-6705
Practice Address - Country:US
Practice Address - Phone:184-362-1364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPEN HANDS NURSING TELEHEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-06
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCM063OtherFAMILY MEDICINE
SCPG0668Medicaid