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Individual

HOLLY MARIE SHALHOOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1800 NORTHSIDE FORSYTH DR STE 370, CUMMING, GA 30041-8483
(770) 889-9737
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1965
OK
363A00000X
Physician Assistant
Primary
7052
GA

Other

Enumeration date
12/27/2010
Last updated
03/17/2020
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