Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Holly Joy Dibert I, ATC

Individual provider Specialist · NPI 1366648719

MS. Holly Joy Dibert I, ATC is a Specialist in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia, Iowa and Minnesota.

Licensed in
GA, IA, MN
In the registry since
2007
Specialties on file
3
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1014 Sycamore Dr Ste B
Decatur, GA 30030-1644
Phone: (404) 299-1700
Fax: (404) 299-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 10-0825 (GA)
Specialist Taxonomy 174400000X · Licence 00300 (IA)
Specialist Taxonomy 174400000X · Licence 1835 (MN)

Record details

NPI number1366648719
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 22, 2007
Last updated in NPPESOctober 31, 2011

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