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Individual

ANDREA J HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1629 AUSTIN MEADOWS DR, DECATUR, GA 30032-3888
(716) 717-7048
Mailing address
1629 AUSTIN MEADOWS DR, DECATUR, GA 30032-3888
(716) 717-7048

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9367
GA
363AM0700X
Medical Physician Assistant
9367
GA
363AS0400X
Surgical Physician Assistant
9367
GA

Other

Enumeration date
08/27/2019
Last updated
01/31/2026
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