Individual
JENNIFER SAMPLES HOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1725
(404) 252-5669
(404) 252-9473
Mailing address
5667 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1725
(404) 252-5669
(404) 252-9473
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2018-01719
NC
208C00000X
Colon & Rectal Surgery Physician
Primary
103860
GA
208C00000X
Colon & Rectal Surgery Physician
ME162888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336460922
—
NC
Enumeration date
06/17/2010
Last updated
05/14/2025
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