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Jalicia Buckholts
NPI 1528790326 · on the registry since 2022
Practice
- Address
- 511 Clover St
Vienna, GA 31092 - Phone
- (229) 815-1325
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-29
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