Provider Demographics
NPI:1609216597
Name:HOLLOWAY, KERI ALICIA (MD)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:ALICIA
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5780 PEACHTREE DUNWOODY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1558
Mailing Address - Country:US
Mailing Address - Phone:404-225-8022
Mailing Address - Fax:404-255-7248
Practice Address - Street 1:5780 PEACHTREE DUNWOODY RD STE 200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1558
Practice Address - Country:US
Practice Address - Phone:404-225-8022
Practice Address - Fax:404-255-7248
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA078027207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology