Individual
DR. HOLLY ANNE IMLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1380 MILSTEAD AVE NE, SUITE E, CONYERS, GA 30012-3864
(678) 609-4913
(678) 609-4923
Mailing address
1380 MILSTEAD AVE NE, SUITE E, CONYERS, GA 30012-3864
(678) 609-4913
(678) 609-4923
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
059243
GA
Other
Enumeration date
01/31/2007
Last updated
02/02/2011
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