Individual
ANGELA J HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 W PONCE DE LEON AVE, DECATUR, GA 30030-2443
(404) 537-2521
(404) 778-6901
Mailing address
402 W PONCE DE LEON AVE, DECATUR, GA 30030-2443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88870
GA
Other
Enumeration date
04/07/2018
Last updated
07/20/2021
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