Individual
HOLLY DEANNE BARNLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9666
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22178
SC
367500000X
Certified Registered Nurse Anesthetist
RN228243
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2826
—
SC
01
—
Q620633365
MEDICARE
SC
Enumeration date
02/13/2018
Last updated
12/21/2018
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