SearchGeorgia246ZS0410X

Holly Dibert, ATC

NPI 1366648719 · on the registry since 2007 · sole proprietor

Practice

Address
1014 Sycamore Dr Ste B
Decatur, GA 30030
Phone
(404) 299-1700
Fax
(404) 299-1616
Organisation at this address
Monal, Llc
Aica Orthopedics P.C.
T. Rex Orthopaedics, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
246ZS0410X
246ZS0410X
Also registered as
174400000X
174400000X
Licence states on file
IA, MN, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia