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Individual

MRS. JOY LYNN HOLWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.N.

Contact information

Practice address
113 LONG PINE DR, LEESBURG, GA 31763-3145
(239) 682-0646
Mailing address
113 LONG PINE DR, LEESBURG, GA 31763-3145
(239) 682-0646

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004675
GA

Other

Enumeration date
10/14/2016
Last updated
03/17/2018
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