Individual
MR. KEAYMONDA HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 LOBLOLLY LN, ALBANY, GA 31721-7724
(229) 854-8418
(855) 626-0642
Mailing address
112 LOBLOLLY LN, ALBANY, GA 31721-7724
(229) 854-8418
(855) 626-0642
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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