Organization
HOLISTIC GYNECOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAQUITA D CALLAWAY MD (OWNER)
(678) 205-0405
Entity
Organization
Contact information
Practice address
2785 LAWRENCEVILLE HWY, SUITE 107, DECATUR, GA 30033-2515
(678) 205-0405
(678) 205-0416
Mailing address
1681 FRAZIER PARK DR., DECATUR, DECATUR, GA 30033-0398
(404) 216-4581
(678) 205-0416
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033289
GA
Other
Enumeration date
10/04/2006
Last updated
04/28/2020
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