HOLLY TREE FAMILY PRACTICE NPI 1760509814

NPI Information

  • NPI: 1760509814
  • Provider Name: HOLLY TREE FAMILY PRACTICE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 42D0864419
  • Address: 1338 HIGHWAY 14
    SIMPSONVILLE, SC
    ZIP 29681
  • Phone: (864) 297-7091

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NPI Details

HOLLY TREE FAMILY PRACTICE is a family medicine in Simpsonville, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HOLLY TREE FAMILY PRACTICE NPI is 1760509814. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1338 HIGHWAY 14
SIMPSONVILLE, SC
ZIP 29681-637
Phone: (864) 297-7091
Fax: (864) 297-6335

The provider's authorized official is Kristi Rae Williams .
The authorized official title is Office Manager and has the following contact phone number (864) 297-7091.

The CLIA number assigned to this NPI record is 42D0864419 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine948SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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