| Mrs Taina S Holly, LPN | |
|
1234 Elgin Way, Riverdale, GA 30296 | |
| (770) 629-1565 | |
| Not Available |
| Full Name | Mrs Taina S Holly |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1234 Elgin Way, Riverdale, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104069517 | NPI | - | NPPES |
| 031012479 | Other | GA | GA OFFICE OF REG. SERVICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN061999 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Taina S Holly, LPN 1234 Elgin Way, Riverdale, GA 30296 Ph: (770) 629-1565 | Mrs Taina S Holly, LPN 1234 Elgin Way, Riverdale, GA 30296 Ph: (770) 629-1565 |
Scott Alexander Gibson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 277 Medical Way, Riverdale, GA 30274 Phone: 470-298-7236 | |
Grace L Kelson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9142 Clubhouse Dr, Riverdale, GA 30274 Phone: 404-747-2575 | |
Akili Penn, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 277 Medical Way, Riverdale, GA 30274 Phone: 470-298-7236 | |
David Hatter, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 792 Russell Dr, Riverdale, GA 30296 Phone: 734-666-8353 | |
Mrs. Christina Jarvis-reid, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 211 Lasso Dr, Riverdale, GA 30274 Phone: 404-553-3511 | |
Natacha Destra, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 227 Medical Way, Riverdale, GA 30274 Phone: 470-298-7236 |