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Individual

DR. CLAIRE ASHLEY HOLLSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1555 DOCTORS DR, STE 106, LAGRANGE, GA 30240-4139
(706) 845-9370
(706) 845-9371
Mailing address
1555 DOCTORS DR, STE 106, LAGRANGE, GA 30240-4139
(706) 845-9370
(706) 845-9371

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD000915
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
918747252A
GA
Enumeration date
05/12/2006
Last updated
06/09/2008
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