Individual
CINDY A HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1973
(912) 681-4184
Mailing address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1973
(912) 681-4184
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN179550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11578314
CAQH PROVIDER ID
GA
05
—
282383385B
—
GA
Enumeration date
07/02/2006
Last updated
08/14/2013
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