Individual
MRS. MICHELLE N HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 OTTER CIR, FAYETTEVILLE, GA 30215-5264
(404) 539-7411
Mailing address
249 OTTER CIR, FAYETTEVILLE, GA 30215-5264
(404) 539-7411
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
172059
GA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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