Individual
RICHARD DAWSON HOLLOWAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1068 CRESTHAVEN RD, MEMPHIS, TN 38119-0800
(901) 866-8525
Mailing address
1068 CRESTHAVEN RD, MEMPHIS, TN 38119-0800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
901463
MS
363L00000X
Nurse Practitioner
Primary
APN0000020944
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003182720A
—
GA
05
—
01585873
—
MS
05
—
200040282
—
MO
05
—
220036758
—
AR
05
—
Q025239
—
TN
Enumeration date
08/10/2016
Last updated
08/10/2023
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