| Kenny Holloway, Od | |
|
8016 Cumming Hwy, Suite 301, Canton, GA 30115-9350 | |
| (678) 315-9446 | |
| Not Available |
| Full Name | Kenny Holloway, Od |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8016 Cumming Hwy, Canton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588859649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2252 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenny Holloway, Od 8016 Cumming Hwy, Suite 301, Canton, GA 30115-9350 Ph: (678) 315-9446 | Kenny Holloway, Od 8016 Cumming Hwy, Suite 301, Canton, GA 30115-9350 Ph: (678) 315-9446 |
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