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Contact Information

HOLLY J DIBERT I, ATC
1014 SYCAMORE DR STE B
DECATUR, GA30030-1644
 Phone: 404-299-1700
 Fax: 404-299-1616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for HOLLY J DIBERT I · (Female)

NPI # 1366648719
Status Active
Credentials ATC
Entity Individual
Enumeration date 06/22/2007
Last updated 10/31/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 10-0825
  • IA License # 00300
  • MN License # 1835
  • GA Other 1518959006 DR. BENDIKS
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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