Holly Joy Dibert is a Specialist in Decatur, Georgia. Holly Joy Dibert practices all healthcare services and medical treatments related to Specialist. The NPI Number for Holly Joy Dibert is 1366648719. The last update date is 2011-10-31.
Holly Joy Dibert's current location address is 1014 Sycamore Dr Ste B, Decatur, Georgia. You can contact this provider via phone number 4042991700 and fax number 4042991616. The mailing address for Holly Joy Dibert is 1014 Sycamore Dr Ste B, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Joy Dibert |
|---|---|
| Address | 1014 Sycamore Dr Ste B, Decatur, Georgia |
| Phone Number | 4042991700 |
| Fax Number | 4042991616 |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1366648719 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2011-10-31 |
Provider Mailing Address Detail
| Address | 1014 Sycamore Dr Ste B |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301644 |
| Phone Number | 4042991700 |
| Fax Number | 4042991616 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 300 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1518959006 | GA | DR. BENDIKS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Holly Joy Dibert by the Centers for Medicare & Medicaid Services?
The Holly Joy Dibert has been assigned the NPI (National Provider Identifier) 1366648719 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Holly Joy Dibert located?
The Holly Joy Dibert is located at 1014 Sycamore Dr Ste B, Decatur, GA 300301644.
What is Holly Joy Dibert's specialized field of practice, and what is the corresponding taxonomy classification code?
The Holly Joy Dibert's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When did Holly Joy Dibert receive its 1366648719 assignment?
The Holly Joy Dibert was assigned its 1366648719 on 2007-06-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Holly Joy Dibert most recently updated?
The details pertaining to the Holly Joy Dibert, including its address, specialty, and other relevant information, were last refreshed on 2011-10-31.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA