Individual
APRIL LACARRIE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 GASTON AVE, TIFTON, GA 31794-2075
(706) 202-8556
Mailing address
31 GASTON AVE, TIFTON, GA 31794-2075
(706) 202-8556
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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