DR. HOLLY ANNE IMLACH (NPI# 1639216450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639216450 |
| Entity Type | Individual |
| Full Name | DR. HOLLY ANNE IMLACH |
| Credential | M.D. |
| Practice Address |
1380 Milstead Ave Ne Suite E Conyers GA 30012-3864 |
| Practice Telephone | 6786094913 |
| Practice Fax Number | 6786094923 |
| Mailing Telephone | 6786094913 |
| Mailing Fax Number | 6786094923 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
059243 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1380 MILSTEAD AVE NE SUITE E |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609845403 | Jack Donald James | Specialist | 1380 Milstead Ave Ne, Suite B, Conyers, GA 30012-3864 | 2006-03-15 |
| 1932507423 | Md Precision Lab | Clinical Medical Laboratory | 1380 Milstead Ave Ne, Ste J, Conyers, GA 30012-3864 | 2014-12-15 |
| 1063752913 | Conyers Internal Medicine LLC | Internal Medicine | 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864 | 2013-02-28 |
| 1275872632 | Colon & Digestive Health Specialists LLC | Internal Medicine | 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864 | 2013-02-05 |
| 1295008563 | Shiraz Habib Kassam | Obstetrics & Gynecology | 1380 Milstead Ave Ne, Conyers, GA 30012-3864 | 2012-02-17 |
| 1346538881 | Julianne Adams Birt, Md, LLC | Obstetrics & Gynecology | 1380 Milstead Ave Ne, Suite F, Conyers, GA 30012-3864 | 2011-07-19 |
| 1467613232 | Pediatric Cardiology Services LLC | Pediatrics | 1380 Milstead Ave Ne, Suite J, Conyers, GA 30012-3864 | 2008-06-24 |
| 1619093788 | Serenity Health Care and Hospice | Hospice Care, Community Based | 1380 Milstead Ave Ne, Suite H, Conyers, GA 30012-3864 | 2007-03-21 |
| 1699823245 | The Atlanta Cardioloyg Group, PC | Internal Medicine | 1380 Milstead Ave Ne, Suite E, Conyers, GA 30012-3864 | 2007-01-08 |
| 1700946258 | Karim Shakoor, M.d.,p.c. | Internal Medicine | 1380 Milstead Ave Ne, Suite-c, Conyers, GA 30012-3864 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1407849722 | Stephanie H Gordon | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2005-08-23 |
| 1871654624 | The Womens Center PC | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2006-12-13 |
| 1205943743 | Thomas Lewis Lyons | Obstetrics & Gynecology | 1380 Milstead Ave Ne, Suite E, Conyers, GA 30012-3864 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
| 1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
| 1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
| 1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
| 1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.