Doctor Name: | ABBY HOLT OTTO |
NPI Number: | 1700043460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 11975 Morris Rd Suite 200 Alpharetta, GA - 300054419 |
Business Phone Number: | 7707513600 |
Business Fax Number: | 7707513615 |
Mailing Address: | 5780 Peachtree Dunwoody Road, Suite 300 ATLANTA |
State: | GA |
Postal Code: | 303421513 |
Phone Number: | 4043031224 |
Fax Number: | 4043031325 |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |