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1952408130
HOLLIE THACKER GILLIS
ROME, GA
NPI
1952408130
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Other Name
HOLLIE EUGENIA THACKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN089950)
Enumeration Date
2006-09-20
Last Update Date
2020-07-21
Business Address
HOLLIE THACKER GILLIS CPNP
85 JOHN MADDOX DRIVE CONNECTOR NW
ROME, GA 30165-1233
Phone number: 762-235-2990
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Mailing Address
HOLLIE THACKER GILLIS CPNP
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone number: 762-235-1000
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