Individual
OCTAVIA RAQUEL HOLLOWAY-FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
301 DENMARK ST, STATESBORO, GA 30458-5208
(912) 996-3943
Mailing address
301 DENMARK ST, STATESBORO, GA 30458-5208
(913) 996-3943
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
184049
GA
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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