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Contact Information

PRO- HOLISM PROFESSIONAL CORPORATION
2480 WINDY HILL RD SE
SUITE 206
MARIETTA, GA30067-8644
 Phone: 770-953-0074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Clinic/Center

261Q00000X
 

Community/Behavioral Health

251S00000X
 

Health Maintenance Organization

302R00000X
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Nursing Care

251J00000X
 

Preferred Provider Organization

305R00000X
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for PRO- HOLISM PROFESSIONAL CORPORATION

NPI Number 1124353339
LBN Legal business name PRO- HOLISM PROFESSIONAL CORPORATION
Authorized official REDA COSTON - (HEALTHCARE ADMINISTRATION EXECUTIVE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/06/2009
Last updated 07/16/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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