Provider Demographics
NPI:1437343845
Name:HOLLENBACH, SETH A (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:A
Last Name:HOLLENBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 749495
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9495
Mailing Address - Country:US
Mailing Address - Phone:855-963-2100
Mailing Address - Fax:813-321-1296
Practice Address - Street 1:1662 HIGDON FERRY RD
Practice Address - Street 2:SUITE 140
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6999
Practice Address - Country:US
Practice Address - Phone:501-525-4555
Practice Address - Fax:501-623-2296
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2023-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE6264208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR187740001Medicaid