Provider Demographics
NPI:1508029166
Name:HOLCOMB, LADONNA LEIGH (NP-C)
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:LEIGH
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:LADONNA
Other - Middle Name:LEIGH
Other - Last Name:GRIFFITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1882
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30162-1882
Mailing Address - Country:US
Mailing Address - Phone:706-509-3040
Mailing Address - Fax:
Practice Address - Street 1:304 TURNER MCCALL BLVD SW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-5621
Practice Address - Country:US
Practice Address - Phone:706-509-6840
Practice Address - Fax:706-509-6841
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN101888363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner