Hollis, Lynwood Breeden

Hollis, Lynwood Breeden is an individual health care provider with primary practice located at 35 International Dr , Greenville SC 29615-4816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Hollis, Lynwood Breeden can be contacted via phone (864) 234-7654.

Contact Information

Primary practice address
35 International Dr Greenville SC 29615-4816
Fax: (864) 675-1657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 16471 South Carolina
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 16471 South Carolina

Profile Details

NPI number 1649237793
LBN Legal business name Hollis, Lynwood Breeden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Feb 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649237793 NPPES
South Carolina Other 8157 MEDICARE PTAN
South Carolina MEDICAID 164716 MEDICARE PTAN

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