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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. HOLLY JOY DIBERT I, ATC

Active Sole Proprietor

MS. HOLLY JOY DIBERT I, ATC is a Medical Laboratory Technician healthcare provider located in DECATUR, Georgia. NPI 1366648719 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · DECATUR, GA

Registration Details

NPI Number
1366648719
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2007 (19.100987583567 yrs)
Last Updated
Oct 31, 2011
Licenses
00300 (IA)
1835 (MN)
10-0825 (GA)
Sole Proprietor
Yes

Practice Information

Address
1014 SYCAMORE DR STE B
DECATUR, GA, 300301644
Browse GA providers · Browse ZIP 30030
Phone
4042991700
Fax
4042991616
Primary Specialty
Medical Laboratory Technician
246ZS0410X
Additional Specialty
Specialist
Additional Specialty
Medical Laboratory Technician

Other Medical Laboratory Technician Providers in DECATUR, GA

Name Credential NPI
BRAD HODGSON PHD, ATC, OT-C 1699869610
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.