Mrs Taina S Holly, LPN - Licensed Practical Nurse in Riverdale, GA

Mrs Taina S Holly, LPN is a Licensed Practical Nurse based in Riverdale, Georgia. Mrs Taina S Holly is licensed to practice in Georgia (license number LPN061999) and her current practice location is 1234 Elgin Way, Riverdale, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 629-1565.

NPI number for Mrs Taina S Holly is 1104069517 and her current mailing address is 1234 Elgin Way, Riverdale, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104069517.

Contact Information

Mrs Taina S Holly, LPN
1234 Elgin Way,
Riverdale, GA 30296
(770) 629-1565
Not Available



Provider's Profile

Full NameMrs Taina S Holly
GenderFemale
SpecialityLicensed Practical Nurse
Location1234 Elgin Way, Riverdale, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104069517
  • Provider Enumeration Date: 04/15/2009
  • Last Update Date: 04/15/2009

Medical Identifiers

Medical identifiers for Mrs Taina S Holly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104069517NPI-NPPES
031012479OtherGAGA OFFICE OF REG. SERVICE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LPN061999 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Taina S Holly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Taina S Holly, LPN
1234 Elgin Way,
Riverdale, GA 30296

Ph: (770) 629-1565
Mrs Taina S Holly, LPN
1234 Elgin Way,
Riverdale, GA 30296

Ph: (770) 629-1565

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› Verified 3 days ago


Licensed Practical Nurse Nurses in Riverdale, GA

Scott Alexander Gibson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 277 Medical Way, Riverdale, GA 30274
Phone: 470-298-7236    
Grace L Kelson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 9142 Clubhouse Dr, Riverdale, GA 30274
Phone: 404-747-2575    
Akili Penn,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 277 Medical Way, Riverdale, GA 30274
Phone: 470-298-7236    
David Hatter,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 792 Russell Dr, Riverdale, GA 30296
Phone: 734-666-8353    
Mrs. Christina Jarvis-reid, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 211 Lasso Dr, Riverdale, GA 30274
Phone: 404-553-3511    
Natacha Destra, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 227 Medical Way, Riverdale, GA 30274
Phone: 470-298-7236    

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