Mrs Blair A Holliday, MSPT | |
4505 Ashford Dunwoody Rd Ne Ste 13, Atlanta, GA 30346-1516 | |
(770) 393-0111 | |
Not Available |
Full Name | Mrs Blair A Holliday |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 4505 Ashford Dunwoody Rd Ne Ste 13, Atlanta, 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 |
---|---|---|---|
1891001558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT008864 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Form Physical Therapy Llc | 0446595573 | 3 |
Provider Name | Form Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457840290 PECOS PAC ID: 0446595573 Enrollment ID: O20181218003432 |
Mailing Address | Practice Location Address |
---|---|
Mrs Blair A Holliday, MSPT 255 Oakmere Dr, Alpharetta, GA 30009-3268 Ph: (678) 936-0821 | Mrs Blair A Holliday, MSPT 4505 Ashford Dunwoody Rd Ne Ste 13, Atlanta, GA 30346-1516 Ph: (770) 393-0111 |
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