Individual
JAIMIE N HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
1257 FOUR LAKES DR, MADISON, GA 30650-4267
(478) 457-4211
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
RN283347
GA
2086S0127X
Trauma Surgery Physician
RN283347
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN283347
GA
Other
Enumeration date
01/24/2023
Last updated
07/15/2024
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