Bianca Horton Holmes
Eyewear Supplier (Equipment, not the service) in Fairburn, GA. Individual provider (NPI-1).
NPI number1164021234
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1164021234
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bianca Horton Holmes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
1085 Buckingham TerFairburn, GA 30213-6481
Phone 404-587-7585
Mailing address
1085 Buckingham TerFairburn, GA 30213-6481
Phone 404-587-7585
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