Provider Demographics
NPI:1649455023
Name:MARTIN, HOLLY ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:ANN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 TUPELO LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-2841
Mailing Address - Country:US
Mailing Address - Phone:843-330-0813
Mailing Address - Fax:
Practice Address - Street 1:MEMORIAL HEALTH
Practice Address - Street 2:4700 WATERS AVENUE
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404
Practice Address - Country:US
Practice Address - Phone:912-350-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0111511835P1200X
GARPH0262861835P1200X
PARP046226L1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy