Wade Holloway in Mcdonough - Physician Assistant

Wade Holloway - NPI 1497819098

Wade Holloway is a Physician Assistant in Mcdonough, Georgia. Wade Holloway practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wade Holloway is 1497819098. The last update date is 2007-07-08.

Wade Holloway's current location address is 259 Jonesboro Rd, Mcdonough, Georgia. You can contact this provider via phone number 7709578666. The mailing address for Wade Holloway is 259 Jonesboro Rd, Mcdonough, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Wade Holloway
Address 259 Jonesboro Rd, Mcdonough, Georgia
Phone Number 7709578666
Fax Number
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1497819098
Provider Enumeration Date 2006-12-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 259 Jonesboro Rd
City Mcdonough
State Georgia (GA)
Post Code 302533769
Phone Number 7709578666
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 3206
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Wade Holloway

What is the unique 10-digit identification code assigned to Wade Holloway by the Centers for Medicare & Medicaid Services?

The Wade Holloway has been issued the NPI (National Provider Identifier) 1497819098, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Wade Holloway is physically located?

The Wade Holloway is situated at the following address: 259 Jonesboro Rd, Mcdonough, GA 302533769.

What is Wade Holloway's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wade Holloway's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497819098 to Wade Holloway?

The Wade Holloway received its 1497819098 assignment from the Centers for Medicare & Medicaid Services on 2006-12-20.

When was the information regarding Wade Holloway, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wade Holloway, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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