Individual
JACOB HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 HOSPITAL BLVD STE 230, ROSWELL, GA 30076
(470) 956-4560
(770) 475-8968
Mailing address
4500 HOSPITAL BLVD STE 230, ROSWELL, GA 30076-0001
(470) 956-4560
(770) 475-8968
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
58-2329008
GA
Other
Enumeration date
06/25/2013
Last updated
09/26/2019
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