Holloway, Ashley Ann

Holloway, Ashley Ann is an individual health care provider with primary practice located at 15 Riverbend Dr Sw Ste 100, Rome GA 30161-6005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Holloway, Ashley Ann can be contacted via phone (706) 378-5651.

Contact Information

Primary practice address
15 Riverbend Dr Sw Ste 100 Rome GA 30161-6005
Phone: (706) 378-5651
Fax: (706) 378-8267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN201389 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN201389 Georgia

Profile Details

NPI number 1548685811
LBN Legal business name Holloway, Ashley Ann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2014
Last updated Jul 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548685811 NPPES
Georgia Other 959774 WELLCARE
Georgia MEDICAID 003143999A WELLCARE
Georgia MEDICAID 003143999B WELLCARE
Georgia Other 959790 WELLCARE

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