Holly Joy Dibert I ATC

NPI 1366648719 - Specialist - 174400000X

NPI Details
NPI 1366648719
Gender Female
Enumeration Date 06/22/2007
Last Updated 10/31/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1014 SYCAMORE DR STE B
DECATUR GA, 30030-1644, US
Phone (404) 299-1700
Fax (404) 299-1616
Business Location
2610 AVERY PARK CIR
ATLANTA GA, 30360-2576, US
Phone (404) 285-5560
Fax
Toxanomy
Taxonomy Code 174400000X
License State Iowa
License Number 00300
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According to our database, Ms. Holly Joy Dibert I ATC NPI is 1366648719, taxonomy code is 174400000X and license number is 00300, license state is located at Iowa. Holly Joy Dibert I ATC physically located at 1014 Sycamore Dr Ste B, Decatur GA, 30030-1644. NPI Number Holly Joy Dibert I ATC has the Individual type.

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1366648719 NPI number is provided on an as is basis without warranty of any kind. 1366648719 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Joy Dibert I ATC are for informational purposes only.