Individual
MRS. MATTIE ELIZABETH HOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
53 GORDON RD STE 101, JASPER, GA 30143-1017
(706) 692-9768
(706) 692-4040
Mailing address
53 GORDON RD STE 101, JASPER, GA 30143-1017
(706) 692-9768
(706) 692-4040
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN230895
GA
Other
Enumeration date
09/18/2018
Last updated
10/24/2025
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