Provider Demographics
NPI:1871299610
Name:BARBER, HOLLY P (NP)
Entity type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:P
Last Name:BARBER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 DEER HOUND TRL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-2815
Mailing Address - Country:US
Mailing Address - Phone:803-338-6154
Mailing Address - Fax:
Practice Address - Street 1:2645 WHISKEY RD STE 106A
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-8072
Practice Address - Country:US
Practice Address - Phone:803-642-8511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26548363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty