Individual
DAMEKA HOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5632 SAINT MARYS RD APT 1A, COLUMBUS, GA 31907-6948
(706) 566-6404
Mailing address
5632 SAINT MARYS RD APT 1A, COLUMBUS, GA 31907-6948
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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