Individual
MRS. BIANCA HORTON HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 BUCKINGHAM TER, FAIRBURN, GA 30213-6481
(404) 587-7585
Mailing address
1085 BUCKINGHAM TER, FAIRBURN, GA 30213-6481
(404) 587-7585
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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