Provider Demographics
NPI:1316975865
Name:MATTEO, HOLLY A (DC)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:A
Last Name:MATTEO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 SHELTER COVE LN
Mailing Address - Street 2:SUITE H
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-3571
Mailing Address - Country:US
Mailing Address - Phone:843-686-4222
Mailing Address - Fax:843-686-2148
Practice Address - Street 1:58 SHELTER COVE LN
Practice Address - Street 2:SUITE H
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-3571
Practice Address - Country:US
Practice Address - Phone:843-686-4222
Practice Address - Fax:843-686-2148
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2524Medicaid