MEDICARE: ROBERT JOHN HOLLOWAY MD

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
1	208M00000X	Hospitalist Physician	243140-1	NY
2	208M00000X	Hospitalist Physician	2026008581	MO
3	208M00000X	Hospitalist Physician	031263	GA
4	207R00000X	Internal Medicine Physician	31263	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376630293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOHN HOLLOWAY MD

Provider Business Mailing Address
First Line	:	PO BOX 658
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30503-0658
Country	:	US
Telephone Number	:	770-718-1122
Fax Number	:	770-535-7445

Provider Business Practice Location Address
First Line	:	227 MOUNTAIN DR
Second Line	:
City	:	DAHLONEGA
State	:	GA
Zip	:	30533-1606
Country	:	US
Telephone Number	:	770-219-7078
Fax Number	:	770-219-7365

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	06/16/2026

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Directions to “ ROBERT JOHN HOLLOWAY MD” Practice Location

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