Mrs Audline Maria Holmes, PMHNP | |
4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | |
(203) 993-3953 | |
Not Available |
Full Name | Mrs Audline Maria Holmes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4805 W Village Way Se Apt 2208, Smyrna, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336740398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN236320 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Personal Recovery Network Llc | 5092611384 | 334 |
Entity Name | Personal Recovery Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
---|---|
Mrs Audline Maria Holmes, PMHNP 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 Ph: () - | Mrs Audline Maria Holmes, PMHNP 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 Ph: (203) 993-3953 |
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