Provider Demographics
NPI:1245843804
Name:HOLISTIC HEALTHCARE
Entity type:Organization
Organization Name:HOLISTIC HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIETTA
Authorized Official - Middle Name:WRIGHT
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:843-670-1434
Mailing Address - Street 1:1024 CANE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-0802
Mailing Address - Country:US
Mailing Address - Phone:843-670-1434
Mailing Address - Fax:843-538-2837
Practice Address - Street 1:1024 CANE BRANCH RD
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-0802
Practice Address - Country:US
Practice Address - Phone:843-670-5086
Practice Address - Fax:843-538-2837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty