Individual
DR. BLAKE RYAN HOLLOWOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 574-5693
(843) 764-4512
Mailing address
335 24TH AVE N, NASHVILLE, TN 37203-1503
(615) 342-0290
(615) 342-0289
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
89309
SC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
71712
TN
Other
Enumeration date
04/03/2018
Last updated
09/23/2024
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