Individual
DANIEL T. HOLZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP, LP
Contact information
Practice address
2141 EASTVIEW PKWY, CONYERS, GA 30013-5756
(770) 922-5540
(770) 922-8535
Mailing address
2141 EASTVIEW PKWY, CONYERS, GA 30013-5756
(770) 922-5540
(770) 922-8535
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
6
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000812853A
—
GA
Enumeration date
03/20/2017
Last updated
03/20/2017
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