Individual
EVAN CHASE D'HOLLOSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1000
Mailing address
437 HARPER RD, MCDONOUGH, GA 30252-4957
(770) 696-7075
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10719
GA
367H00000X
Anesthesiologist Assistant
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Other
Enumeration date
08/26/2021
Last updated
12/03/2021
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