Individual
TINA MILLER HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1060 RED BUD RD NE, CALHOUN, GA 30701-2081
(706) 629-9507
(706) 625-0369
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN060670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109031C
—
GA
Enumeration date
09/20/2010
Last updated
04/18/2013
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