Dr Celeste A Holder, | |
3500 Peachtree Rd Ne # 3470, Atlanta, GA 30326-1222 | |
(404) 965-7538 | |
Not Available |
Full Name | Dr Celeste A Holder |
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Gender | Female |
Speciality | Chiropractor |
Location | 3500 Peachtree Rd Ne # 3470, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104509793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 013463 (New York) | Primary |
Provider Name | Life Clinic Of Ga Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922752807 PECOS PAC ID: 5395122675 Enrollment ID: O20220509000649 |
Mailing Address | Practice Location Address |
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Dr Celeste A Holder, 3500 Peachtree Rd Ne # 3470, Atlanta, GA 30326-1222 Ph: () - | Dr Celeste A Holder, 3500 Peachtree Rd Ne # 3470, Atlanta, GA 30326-1222 Ph: (404) 965-7538 |
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