Individual
MRS. ELIZABETH MARIA HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R138048 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650355357B
—
GA
Enumeration date
08/15/2006
Last updated
02/17/2012
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