Individual
MS. JAMILA A HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
5065 GALLEON XING, DECATUR, GA 30035-3054
(678) 878-5396
(770) 808-4438
Mailing address
PO BOX 4131, ATLANTA, GA 30302-4131
(678) 878-5396
(770) 808-4438
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
6894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000884749F
—
GA
Enumeration date
11/29/2006
Last updated
03/04/2013
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