Individual
MRS. ASHLEY ANN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
15 RIVERBEND DR SW, STE 100, ROME, GA 30161-6005
(706) 378-5651
(706) 378-8267
Mailing address
15 RIVERBEND DR SW, STE 100, ROME, GA 30161-6005
(706) 378-5651
(706) 378-8267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN201389
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN201389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143999A
—
GA
05
—
003143999B
—
GA
01
—
959774
WELLCARE
GA
01
—
959790
WELLCARE
GA
Enumeration date
02/24/2014
Last updated
07/29/2014
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