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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TALLULAH HOLMSTROM, MD

Active

TALLULAH HOLMSTROM, MD is a Internal Medicine healthcare provider located in LUGOFF, South Carolina. NPI 1053363887 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LUGOFF, SC

Registration Details

NPI Number
1053363887
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2006 (20.25938676018 yrs)
Last Updated
Feb 24, 2012
License
16660 (SC)

Practice Information

Address
710 DEWITT DR
LUGOFF, SC, 290789069
Browse SC providers · Browse ZIP 29078
Phone
8034387566
Fax
8034384371
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in LUGOFF, SC

Name Credential NPI
DR. OLAJIDE A. BALOGUN M.D. 1215997820
JULIE A TAYLOR MD 1316999196
JAMES C MCALPINE JR. MD 1851343636
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.