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Individual

JOHN D HOLLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2115 CHAPINE STREET, SUITE 202, WHEELING, WV 26003
(304) 234-8365
(304) 234-8558
Mailing address
2115 CHAPLINE ST, SUITE 202, WHEELING, WV 26003-3859
(304) 234-8361

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13528
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0083974000
WV
Enumeration date
10/12/2006
Last updated
07/06/2017
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