Individual
CYNTHIA KAYE HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1811 MANNING DR, VIDALIA, GA 30474-8921
(912) 733-4555
Mailing address
291 WIGGINS RD, LYONS, GA 30436-3434
(912) 294-6712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN164616
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN164616
GA
Other
Enumeration date
07/18/2012
Last updated
04/23/2025
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