Individual
MR. SEAN HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC / FNP-BC
Contact information
Practice address
1600 VERNON RD STE A, LAGRANGE, GA 30240-4143
(706) 803-8799
Mailing address
1600 VERNON RD STE A, LAGRANGE, GA 30240-4143
(706) 803-8799
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN 9232842
FL
363L00000X
Nurse Practitioner
Primary
RN325179
GA
363LA2100X
Acute Care Nurse Practitioner
ARNP9232842
FL
363LF0000X
Family Nurse Practitioner
ARNP 9232842
FL
Other
Enumeration date
08/03/2016
Last updated
03/26/2025
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