Individual
TONYA MELTON HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 TALLASSEE TRL, LEESBURG, GA 31763-3769
(229) 942-5177
Mailing address
PO BOX 123, LEESBURG, GA 31763-0123
(229) 942-5177
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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