Individual
DR. JOHN TEDDY HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
549 CREEK DR, HOBOKEN, GA 31542-2959
(912) 458-2494
Mailing address
549 CREEK DR, HOBOKEN, GA 31542-2959
(912) 458-2494
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
016077
GA
Other
Enumeration date
05/23/2010
Last updated
05/23/2010
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