Organization
GAINESVILLE PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWNETTA JANENE HOLLADAY MD (DIRECTOR/OWNER)
(678) 989-1515
Entity
Organization
Contact information
Practice address
601 BROAD ST SE, SUITE E, GAINESVILLE, GA 30501-3729
(678) 989-1515
(770) 868-5650
Mailing address
PO BOX 80307, ATHENS, GA 30608-0307
(706) 549-8114
(706) 549-7558
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Enumeration date
10/28/2014
Last updated
11/12/2014
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