Search › South Carolina › 207YX0007X
Blake Hollowoa, MD
NPI 1871099499 · on the registry since 2018
Practice
- Address
- 9228 Medical Plaza Dr
Charleston, SC 29406 - Phone
- (843) 574-5693
- Fax
- (843) 764-4512
- Organisation at this address
- Trident Dental Associates, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Additional practice sites
- 1 Childrens Way # 543, Little Rock, AR
- 4301 W Markham St # 543, Little Rock, AR
Registry record
- Primary taxonomy
- 207YX0007X
207YX0007X
- Also registered as
- 207Y00000X
- Licence states on file
- SC, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina