Individual
KIM MARTIN HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 S DAVIS RD STE 900, LAGRANGE, GA 30241-2609
(866) 850-6585
Mailing address
200 S DAVIS RD, LAGRANGE, GA 30241-2547
(866) 850-6585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017630
GA
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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