Organization
HOLLOWAY INTERNAL MEDICINE
Active
Organization
HOLLOWAY INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M HOLLOWAY MD (ORGANIZER)
(229) 276-2190
Entity
Organization
Contact information
Practice address
415 E 4TH AVE STE B, CORDELE, GA 31015-0614
(229) 276-2190
(229) 276-3639
Mailing address
1801 QUAIL RUN, CORDELE, GA 31015-2096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/14/2025
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