| Doctor Name: | DR. CLAIRE ASHLEY HOLLSTROM |
| NPI Number: | 1114978475 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | POD000915 |
| Business Practice Address: | 1555 Doctors Dr Ste 106 Lagrange, GA - 302404139 |
| Business Phone Number: | 7068459370 |
| Business Fax Number: | 7068459371 |
| Mailing Address: | 1555 Doctors Dr, Ste 106 LAGRANGE |
| State: | GA |
| Postal Code: | 302404139 |
| Phone Number: | 7068459370 |
| Fax Number: | 7068459371 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 06/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | POD000915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |