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Individual

DR. NATHAN LE HOLTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1817 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 712-6331
Mailing address
1817 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 712-6331

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447716550
NPI
Enumeration date
02/13/2019
Last updated
06/30/2024
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