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Individual

MR. PARKER JEWELL HOLLOWAY IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(770) 645-5102
Mailing address
3155 N POINT PKWY, #100, ALPHARETTA, GA 30005-5481

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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