Individual
DR. THOMAS C HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
199 W MAIN ST, SHELBY, OH 44875-1490
(419) 342-1750
Mailing address
1469 SAND RIDGE RD, BOWLING GREEN, OH 43402-4493
(419) 352-4065
(419) 352-4065
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35049753
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000501096
ANTHEM
—
05
—
0585933
—
OH
01
—
P00080101
RAILROAD MEDICARE
—
Enumeration date
09/07/2005
Last updated
01/10/2012
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