Individual
SANDRA SEEGARS HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 CARROLLTON VILLA RICA HWY, VILLA RICA, GA 30180-5192
(678) 997-4099
Mailing address
PO BOX 1695, FAIRBURN, GA 30213-8011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
061218
GA
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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