Provider Demographics
NPI:1730296278
Name:HOLEWINSKI, ROBERT (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:HOLEWINSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WYNGATE PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-6983
Mailing Address - Country:US
Mailing Address - Phone:770-592-1877
Mailing Address - Fax:770-592-1876
Practice Address - Street 1:1000 WYNGATE PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-6983
Practice Address - Country:US
Practice Address - Phone:770-592-1877
Practice Address - Fax:770-592-1876
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008873111N00000X
GACHIRO07685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I350815Medicare UPIN