Provider Demographics
NPI:1730461039
Name:INFANTE, HOLLY SPRIGGS (PHARM D, CGP, FASCP)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:SPRIGGS
Last Name:INFANTE
Suffix:
Gender:F
Credentials:PHARM D, CGP, FASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 DEER VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-2523
Mailing Address - Country:US
Mailing Address - Phone:404-660-8054
Mailing Address - Fax:678-494-9191
Practice Address - Street 1:103 DEER VALLEY LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-2523
Practice Address - Country:US
Practice Address - Phone:404-660-8054
Practice Address - Fax:678-494-9191
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0140081835G0303X
MI53020233551835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric