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Glenda Hollis, LPN

NPI 1215326871 · on the registry since 2015 · sole proprietor

Practice

Address
Sandvalley Road 10596
Avera, GA 30803
Phone
(912) 245-4504

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
172A00000X
372600000X
374U00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia