Individual
AMANDA KAY HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
403 E G ST, ELIZABETHTON, TN 37643-3223
(423) 543-2521
Mailing address
1200 CIRCLE DRIVE, ELIZABETHTON, TN 37643
(423) 542-9115
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
135386
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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