Individual
MRS. HOLLY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 100, CANTON, GA 30115-8017
(770) 292-3490
(770) 721-5615
Mailing address
460 NORTHSIDE CHEROKEE BLVD STE 100, CANTON, GA 30115-8017
(770) 292-3490
(770) 721-5615
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN226149
GA
Other
Enumeration date
12/20/2018
Last updated
12/20/2019
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