Individual
MR. CLINT LANIER HOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
465 N BELAIR RD, SUITE 1B, EVANS, GA 30809-3188
(706) 868-3100
(706) 228-3125
Mailing address
465 N BELAIR RD, SUITE 1B, EVANS, GA 30809-3188
(706) 868-3100
(706) 228-3125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN185127
GA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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