NPI 1144895616

Tonya Melton Holley

Practitioner Contractor Leesburg, GA

Practice location

Address: 157 Tallassee Trl, Leesburg, GA 31763-3769
Phone: (229) 942-5177
Mailing address: PO Box 123, Leesburg, GA 31763-0123

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1144895616
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2021
Record last updated: 26 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.