Dr. Claire Ashley Hollstrom
Primary Podiatric Medicine
1555 Doctors Dr Ste 106
LaGrange
, Georgia 30240-4139
Dr. Claire Ashley Hollstrom
Primary Podiatric Medicine
1555 Doctors Dr Ste 106
LaGrange
, Georgia 30240-4139
(706) 845-9371
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Claire Ashley Hollstrom
- 1555 Doctors Dr Ste 106
- Lagrange, GA
- Zip : 30240-4139
- Fax : (706) 845-9371
- Phone : (706) 845-9370
Second Address
- Dr. Claire Ashley Hollstrom
- 1555 Doctors Dr Ste 106
- Lagrange, GA
- Zip : 30240-4139
- Fax : (706) 845-9371
- Phone : (706) 845-9370
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | POD000915 | GA |
National Provider Identifier
| NPI | 1114978475 |
|---|---|
| Provider Name | Dr. Claire Ashley Hollstrom |
| First Address | Lagrange, GA 30240-4139 |
| Second Address | Lagrange, GA 30240-4139 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2006 |
| Last Update Date | 09/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 918747252A | (05) | GA |
| V00727 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.