Individual
MARCUS LASHAWN HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 PHARR RD NE APT 305, ATLANTA, GA 30305-2365
(404) 626-8681
Mailing address
PO BOX 52741, ATLANTA, GA 30355-0741
(404) 626-8681
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/11/2019
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