SearchGeorgia111N00000X

Roger Holloway

NPI 1619375391 · on the registry since 2014 · sole proprietor

Practice

Address
535 Engine Run
Stockbridge, GA 30281
Phone
(678) 265-0740

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia