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NPI Code Detail

MEDICARE: SARAH HOLLOWAY

MEDICARE: SARAH HOLLOWAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician91843GA

General Provider Information

NPI Number : 1891256368
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HOLLOWAY
Provider Business Mailing Address
First Line : 3684 BRANNON DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-6912
Country : US
Telephone Number : 757-803-7856
Fax Number :
Provider Business Practice Location Address
First Line : 720 WESTVIEW DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-756-1368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 09/20/2022

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Directions to “ SARAH HOLLOWAY ” Practice Location

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