Holland, Janet

Holland, Janet is an individual health care provider with primary practice located at 175 Country Club Dr Bldg. 100 Suite C, Stockbridge GA 30281-9054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Holland, Janet can be contacted via phone (770) 507-1414.

Contact Information

Primary practice address
175 Country Club Dr Bldg. 100 Suite C Stockbridge GA 30281-9054
Phone: (770) 507-1414
Fax: (770) 507-5150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003013 Georgia

Profile Details

NPI number 1023171493
LBN Legal business name Holland, Janet
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Apr 26th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023171493 NPPES
Georgia MEDICAID 669386353A

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