Provider Demographics
NPI:1891912465
Name:HOLLAND, AMY JEANETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:JEANETTE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:707 WHITLOCK AVE SW
Mailing Address - Street 2:BUILDING H, SUITE 9
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3000
Mailing Address - Country:US
Mailing Address - Phone:770-422-1991
Mailing Address - Fax:770-422-2049
Practice Address - Street 1:707 WHITLOCK AVE SW
Practice Address - Street 2:BUILDING H, SUITE 9
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3000
Practice Address - Country:US
Practice Address - Phone:770-422-1991
Practice Address - Fax:770-422-2049
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2024-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC361982084P0800X
TN690812084P0800X
TXU83452084P0800X
ALMD.475982084P0800X
NY3219982084P0800X
CAC1731292084P0800X
FLME1473202084P0800X
SC900622084P0800X
GA0391292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00643475CMedicaid
GA00643475CMedicaid
GA26BDFVDMedicare ID - Type Unspecified