Individual
HOLLEY M IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 W 3RD AVE STE 101, ALBANY, GA 31701-1900
(229) 312-5800
Mailing address
425 W 3RD AVE STE 700, ALBANY, GA 31701-1969
(229) 312-7790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN171157
GA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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