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Individual

DR. HOLLY DAVIDSON CORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3575 BRASELTON HWY, DACULA, GA 30019-1027
(770) 848-5300
(770) 848-5301
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
076690
GA
207R00000X
Internal Medicine Physician
MD.203980
LA
208000000X
Pediatrics Physician
076690
GA
208000000X
Pediatrics Physician
MD 203980
LA

Other

Enumeration date
05/30/2007
Last updated
01/29/2021
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