Individual
ALEXIS HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3724 PEBBLE BEACH DRIVE, MARTINEZ, GA 30907
(404) 694-4735
Mailing address
P.O. BOX 420993, ATLANTA, GA 30342
(404) 694-4735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7754
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146CE
BCBS
NC
05
—
7412768
—
NC
Enumeration date
12/14/2006
Last updated
12/22/2011
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