Gore, Holly P

Gore, Holly P is an individual health care provider with primary practice located at 3708 Northside Drive , Macon GA 31210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gore, Holly P can be contacted via phone (478) 745-4206.

Contact Information

Primary practice address
3708 Northside Drive Macon GA 31210
Phone: (478) 745-4206
Fax: (478) 254-5324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN118105NP Georgia

Profile Details

NPI number 1902001670
LBN Legal business name Gore, Holly P
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jul 31st, 2012 - about 12 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 1902001670 NPPES
Georgia Other RN118105NP NURSING LICENSE NUMBER

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