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Individual

ANDREW HOLIDAY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5436 RIVERDALE RD STE 115, COLLEGE PARK, GA 30349-6100
(860) 478-7052
Mailing address
868 CORMAC DR, RIVERDALE, GA 30296-7195
(860) 478-7052

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
GA

Other

Enumeration date
09/06/2015
Last updated
09/07/2015
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