Provider Demographics
NPI:1578320792
Name:HOLLINS, TEKIA (LPN)
Entity Type:Individual
Prefix:
First Name:TEKIA
Middle Name:
Last Name:HOLLINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29180-1208
Mailing Address - Country:US
Mailing Address - Phone:839-229-8029
Mailing Address - Fax:
Practice Address - Street 1:308 ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:SC
Practice Address - Zip Code:29180-1208
Practice Address - Country:US
Practice Address - Phone:839-229-8029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education