STACIE DIANNE HOLLOWAY

ATLANTA, GA
NPI1598048894
Former NameSTACIE WARD EVANS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R871001)
Enumeration Date2011-09-22
Last Update Date2025-02-18
Business Address
Mrs. STACIE DIANNE HOLLOWAY FNP-BC
1100 JOHNSON FY RD NE
ATLANTA, GA 30342-1709
Phone number: 404-851-6284
Mailing Address
Mrs. STACIE DIANNE HOLLOWAY FNP-BC
131 BUSHY HEAD RD
CHERRY LOG, GA 30522
Phone number: 662-882-3722
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