| NPI | 1588859649 |
|---|---|
| Doing Business As | KENNY HOLLOWAY, OD |
| Entity Type | Organization |
| Authorized Contact | KENNY HOLLOWAY Officer 678-315-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 2252) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |