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1497819098
WADE HOLLOWAY
MCDONOUGH, GA
NPI
1497819098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003206)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
-- WADE HOLLOWAY PAC
259 JONESBORO RD
MCDONOUGH, GA 30253-3769
Phone number: 770-957-8666
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Mailing Address
-- WADE HOLLOWAY PAC
1065 JODECO RD
STOCKBRIDGE, GA 30281-4953
Phone number: 678-284-6300
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