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NPI Code Detail

MEDICARE: HOLLY REBECCA NORRIS

MEDICARE: HOLLY REBECCA NORRIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN-NP294478GA

General Provider Information

NPI Number : 1043028905
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY REBECCA NORRIS
Provider Business Mailing Address
First Line : 6501 PEAKE RD STE 1100
Second Line :
City : MACON
State : GA
Zip : 31210-8053
Country : US
Telephone Number : 478-338-9140
Fax Number : 478-203-8673
Provider Business Practice Location Address
First Line : 6501 PEAKE RD STE 1100
Second Line :
City : MACON
State : GA
Zip : 31210-8053
Country : US
Telephone Number : 478-338-9140
Fax Number : 478-203-8673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2024
Last Update Date : 06/05/2026

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Directions to “ HOLLY REBECCA NORRIS ” Practice Location

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