Charles W Holloway (NPI# 1063784676, PAC ID# 9537381322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063784676 |
| PAC ID by PECOS | 9537381322 |
| Professional Enrollment ID | I20141111001558 |
| Full Name | Charles W Holloway |
| Organization Legal Name | ALLIANCE FAMILY CARE LLC |
| Address |
1775 Access Rd Suite C Covington GA 30014-1987 |
| Phone Number | 7702550123 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426959537 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1775 Access Rd, Suite C, Covington, GA 30014-1987 | 7702550123 | ALLIANCE FAMILY CARE LLC |
| 1775 Access Rd, Covington, GA 30014-1987 | 7702550123 | ALLIANCE FAMILY CARE LLC |
| Organization Legal Name | ALLIANCE FAMILY CARE LLC |
| Physicians | 1 |
| Street Address |
1775 ACCESS RD SUITE C |
| City | COVINGTON |
| State | GA |
| Zip | 30014-1987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faryal Baloch | Internal Medicine | 1775 Access Rd, Suite C, Covington, GA 30014-1987 | |
| Muhammad A Abbasi | Internal Medicine | 1775 Access Rd, Suite C, Covington, GA 30014-1987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen F Vidrine | Certified Clinical Nurse Specialist (cns) | 10385 Hwy 278 E, Covington, GA 30014 | |
| Ashley E Heath | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Joseph T Overton Jr. | Dermatology | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Shiara C Vassian | Physician Assistant | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Lucinda C. Faulkner | Nurse Practitioner | The Derm Center of Newton | 4155 Baker St Ne, Suite 100, Covington, GA 30014-1405 |
| Anil J Desai | Internal Medicine | 4139 Baker St, Suite 900, Covington, GA 30014-1409 | |
| Gia E Johnson | Psychiatry | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Margaret Martin | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Dionne L Jenkins | Clinical Social Worker | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Monica Osayi | Nurse Practitioner | View Point Health | 8201 Hazelbrand Rd Ne, Covington, GA 30014-1510 |
| Find all physicians in zip 30014 | |||
| City | COVINGTON |
| Zip Code | 30014 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COVINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Charles W Holloway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.