Priscilla Wilcox Holtzclaw, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24134 Issued in SC

Practice address

3400 Salterbeck CT
Ste 100
Mt Pleasant, SC 29466-7118

Phone

(843) 971-3361

Fax

(843) 971-8492

NPI assigned

Nov 17, 2005

Last updated

Oct 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1164404844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SALTERBECK CT",
            "address_2": "STE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667118",
            "telephone_number": "843-971-3361",
            "fax_number": "843-971-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZCLAW",
        "first_name": "PRISCILLA",
        "middle_name": "WILCOX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "24134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID - EFFECTIVE 5/11/2009",
            "identifier": "P00775520",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241349",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenton Holden Jr., PT,MHS,CSCS
• Mitchell Hollander, LICENSED OPTICIAN
• Heaven Hollender, PHD AND CRC
• Hannah M Holley, BCBA
• Emily Bryant Hollins, PHARMD
• Holy City Pediatric Therapy, LLC
• Home Care Plus, LLC (Home Care Plus)
• Home Haven Care
• Homecare DME
• Jacqueline Skonieczki Homer, DPT

• Family Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.