MR. Theron J Holtzclaw, AA

NPI #1073538955 in Atlanta, Georgia

Provider Information

NPI Number
1073538955
Entity Type
Individual
Name
MR. Theron J Holtzclaw, AA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Anesthesiologist Assistant
Credential
AA
Enumeration Date
Jul 13, 2006
Last Updated
Oct 1, 2010

Practice Location

Address
1968 PEACHTREE ROAD NW
State
Georgia
ZIP Code
30309-1281
Phone
(404) 351-1745

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Anesthesiologist Assistant

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