Individual provider · Type 1 NPI
Claire Ashley Hollstrom, DPM
Primary Podiatric Medicine Podiatrist · Lagrange, GA
NPI number
1114978475
Active
Practice location
1555 Doctors Dr, Ste 106
Lagrange, GA 30240-4139
Fax (706) 845-9371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | POD000915 (GA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
3 other providers at this address
About NPI 1114978475
Claire Ashley Hollstrom, DPM's National Provider Identifier is 1114978475, issued on May 12, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Lagrange, GA. The record was last updated on Jun 9, 2008.