Individual
DOUGLAS LYNN HOLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
519 BROAD ST, SUITE 106, ROME, GA 30161-1734
(706) 767-8347
(404) 393-4033
Mailing address
519 BROAD ST, SUITE 106, ROME, GA 30161-1734
(706) 767-8347
(404) 393-4033
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN116971
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000607384C
—
GA
Enumeration date
09/21/2005
Last updated
05/04/2015
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