Dr Holly Lorraine Hubbard, MD is a
Pediatrics physician based in Loganville, Georgia. Dr Holly Lorraine Hubbard is licensed to practice in Georgia (license number 64814) and her current practice location is 4495 Atlanta Hwy, Building 200, Loganville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 710-0117.
NPI number for Dr Holly Lorraine Hubbard is 1861643397 and her current mailing address is 4495 Atlanta Hwy, Suite 200, Loganville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861643397.
Physician's Profile
| Full Name | Dr Holly Lorraine Hubbard |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 4495 Atlanta Hwy, Loganville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861643397
- Provider Enumeration Date: 10/02/2008
- Last Update Date: 07/09/2014
Medical Identifiers
Medical identifiers for Dr Holly Lorraine Hubbard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861643397 | NPI | - | NPPES |
| 00304545D | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0101246331 (Virginia) | Secondary |
| 208000000X | Pediatrics | 64814 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Holly Lorraine Hubbard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Holly Lorraine Hubbard, MD
4495 Atlanta Hwy, Suite 200,
Loganville, GA 30052-6736
Ph: (770) 710-0117 | Dr Holly Lorraine Hubbard, MD
4495 Atlanta Hwy, Building 200,
Loganville, GA 30052-6736
Ph: (770) 710-0117 |
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