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Individual

SHAE MARIE HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ST

Contact information

Practice address
2174 PLANTATION CREEK RD, FORTSON, GA 31808-3835
(678) 886-6033
Mailing address
2174 PLANTATION CREEK RD, FORTSON, GA 31808-3835
(678) 886-6033

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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