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Individual

MRS. WENDY JEAN HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6602 WATERS AVE, BUILDING C, SAVANNAH, GA 31406-2778
(912) 354-7676
(912) 354-6040
Mailing address
6602 WATERS AVE, BUILDING C, SAVANNAH, GA 31406-2778
(912) 354-7676
(912) 354-6040

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN102280
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000900281C
GA
Enumeration date
01/11/2007
Last updated
11/28/2011
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