Individual
DR. LAURA HOLLIDAY REBILLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3535 PEACHTREE RD NE, ATLANTA, GA 30326-3287
(404) 848-0929
(404) 848-9230
Mailing address
3535 PEACHTREE RD NE, ATLANTA, GA 30326-3287
(404) 848-0929
(404) 848-9230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0022073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00858184A
—
GA
Enumeration date
01/09/2013
Last updated
01/09/2013
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