Individual
HOLLY ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9666
Mailing address
143 GWENDOLYN CT, CARROLLTON, GA 30117-8103
(770) 328-1089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
GAA-CRNA003198
GA
Other
Enumeration date
04/10/2020
Last updated
10/30/2025
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