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Contact Information

GLENDA J HOLLIS, LPN
SANDVALLEY ROAD 10596
AVERA, GA30803
 Phone: 912-245-4504
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Adult Companion

372600000X
 

Driver

172A00000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for GLENDA J HOLLIS · (Female)

NPI # 1215326871
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 01/20/2015
Last updated 01/21/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 055768176
  • GA License # LPN050212
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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