Individual
HOLLY HAGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1690 ROSE MOSS CT SE, SMYRNA, GA 30082-3969
(301) 275-4057
(423) 702-4493
Mailing address
9504 GEORGE WILLIAMS RD APT SUITE, KNOXVILLE, TN 37922-4211
(865) 385-1174
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT016997
GA
Other
Enumeration date
02/12/2024
Last updated
02/20/2024
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