Individual
JANET HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
175 COUNTRY CLUB DR, BLDG. 100 SUITE C, STOCKBRIDGE, GA 30281-9054
(770) 507-1414
(770) 507-5150
Mailing address
175 COUNTRY CLUB DR, BLDG. 100 SUITE C, STOCKBRIDGE, GA 30281-9054
(770) 507-1414
(770) 507-5150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
669386353A
—
GA
Enumeration date
12/18/2006
Last updated
04/26/2010
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