Individual
HOLLEY V. HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 PROFESSIONAL PARK, SUITE 202, CARROLLTON, GA 30117
(770) 832-6861
(770) 832-9432
Mailing address
100 PROFESSIONAL PARK, SUITE 202, CARROLLTON, GA 30117
(770) 832-6861
(770) 832-9432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN131149NP
GA
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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