Individual
KEVIN M HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 E 4TH AVE STE B, CORDELE, GA 31015-0614
(229) 276-2190
(229) 276-3639
Mailing address
415 E 4TH AVE STE B, CORDELE, GA 31015-0614
(229) 276-2190
(229) 276-3639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
001302
GA
207R00000X
Internal Medicine Physician
Primary
60593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
792796970B
—
GA
05
—
792796970K
—
GA
Enumeration date
11/09/2007
Last updated
04/07/2026
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