| Patricia T Holder, | |
|
11 Overview Dr, Blue Ridge, GA 30513-6611 | |
| (706) 258-4040 | |
| (706) 258-4041 |
| Full Name | Patricia T Holder |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 11 Overview Dr, Blue Ridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417943283 | NPI | - | NPPES |
| 339841 | Other | GA | WELLCARE |
| 00559776C | Medicaid | GA | |
| 10039454 | Other | GA | AMERIGROUP |
| 054224 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN030209 (Georgia) | Primary |
| Entity Name | Union County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487684122 PECOS PAC ID: 3779490503 Enrollment ID: O20040102000231 |
| Entity Name | Progressive Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 |
| Entity Name | Greater Atlanta Anesthesia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285043158 PECOS PAC ID: 7315264645 Enrollment ID: O20150326000819 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia T Holder, Po Box 69, Blue Ridge, GA 30513-0002 Ph: (706) 258-4040 | Patricia T Holder, 11 Overview Dr, Blue Ridge, GA 30513-6611 Ph: (706) 258-4040 |
Kimberly Lynn Cowan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 706-632-3711 |
Ann G Rymer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11 Overview Dr, Blue Ridge, GA 30513 Phone: 706-258-4040 Fax: 706-258-4041 |
Mrs. Cynthia Lee Griffith, RN, MHS, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2855 Old Highway 5, Blue Ridge, GA 30513 Phone: 706-946-4206 Fax: 706-946-4430 |
Mrs. Katherine Atkinson Mann, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11 Overview Dr, Blue Ridge, GA 30513 Phone: 706-258-4040 Fax: 706-258-4041 |