Individual
VANESSA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 IRIS DR, COVINGTON, GA 30016-0907
(770) 787-4042
Mailing address
PO BOX 102, COVINGTON, GA 30015-0102
(912) 441-8608
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
163587
GA
Other
Enumeration date
05/03/2016
Last updated
07/10/2024
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