Healthcare Provider Details

I. General information

NPI: 1285699298
Provider Name (Legal Business Name): LESLIE A HOLLOWELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LESLIE ADCOCK

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 COLLIER ROAD, NW SUITE 5015
ATLANTA GA
30309-1721
US

IV. Provider business mailing address

95 COLLIER ROAD, NW SUITE 5015
ATLANTA GA
30309-1721
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-5699
  • Fax: 404-355-4235
Mailing address:
  • Phone: 404-605-5699
  • Fax: 404-355-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP063419
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN063419NP
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: