Healthcare Provider Details

I. General information

NPI: 1124240544
Provider Name (Legal Business Name): HOLLY BARROWS M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 OHIO AVE
GROVE CITY OH
43123
US

IV. Provider business mailing address

1897 OHIO AVE
GROVE CITY OH
43123
US

V. Phone/Fax

Practice location:
  • Phone: 614-875-1721
  • Fax: 614-820-2337
Mailing address:
  • Phone: 614-875-1721
  • Fax: 614-820-2337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number35048629
License Number StateOH

VIII. Authorized Official

Name: MRS. HOLLY JEAN BARROWS
Title or Position: OWNER
Credential: M.D.
Phone: 614-875-1721