MEDICARE: KERI ALICIA 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	207V00000X	Obstetrics & Gynecology Physician	78027	GA

General Provider Information

NPI Number	:	1609216597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERI ALICIA HOLLOWAY MD

Provider Business Mailing Address
First Line	:	980 JOHNSON FERRY RD STE 660
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1608
Country	:	US
Telephone Number	:	404-497-1350
Fax Number	:	404-497-1427

Provider Business Practice Location Address
First Line	:	980 JOHNSON FERRY RD STE 660
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1608
Country	:	US
Telephone Number	:	404-497-1350
Fax Number	:	404-497-1427

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

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	04/14/2026

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Directions to “ KERI ALICIA HOLLOWAY MD” Practice Location

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