Individual
WANDA HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 HUDSON BRIDGE RD STE 1208, STOCKBRIDGE, GA 30281-6331
(404) 769-7363
(404) 474-8937
Mailing address
1740 HUDSON BRIDGE RD STE 1208, STOCKBRIDGE, GA 30281
(404) 769-7363
(404) 474-8937
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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