Organization
KENNY HOLLOWAY OD PC
Active
Other names
The Eye Place
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNY HOLLOWAY OD (CEO)
(706) 692-5633
Entity
Organization
Contact information
Practice address
105 N MAIN ST STE 100, JASPER, GA 30143-1557
(678) 315-9446
Mailing address
105 N MAIN ST STE 100, JASPER, GA 30143-1557
(678) 315-9446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
01/19/2023
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