Individual
JORDAN O HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(248) 605-1818
Mailing address
1020 N HIGH ST UNIT 203, COLUMBUS, OH 43201-2557
(248) 605-1818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
57.249790
MI
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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