Individual
CODY HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(530) 640-0220
Mailing address
338 TWITCHELL HILL RD, SHAFTSBURY, VT 05262-9255
(530) 640-0220
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/15/2017
Last updated
11/07/2019
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