Individual
ROGER HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 ENGINE RUN, STOCKBRIDGE, GA 30281
(678) 265-0740
Mailing address
535 ENGINE RUN, STOCKBRIDGE, GA 30281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009421
GA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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