Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tallulah Holmstrom, MD

Individual provider Internal Medicine Physician · NPI 1053363887

Tallulah Holmstrom, MD is an Internal Medicine in Lugoff, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1992, 34 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
34
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

710 Dewitt Dr
Lugoff, SC 29078-9069
Phone: (803) 438-7566
Fax: (803) 438-4371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 16660 (SC)

Record details

NPI number1053363887
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESFebruary 24, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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