Individual
KELVIN J HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 JESSE HILL JR. DR. SE, ATLANTA, GA 30303-3032
(404) 785-9850
Mailing address
75 PIEDMONT AVE, SUITE 700, ATLANTA, GA 30303-2544
(404) 756-5271
(404) 756-1402
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
24823
GA
208000000X
Pediatrics Physician
Primary
024823
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000274931C
—
GA
Enumeration date
07/21/2005
Last updated
03/14/2012
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