Kenny B Holloway (NPI# 1912990714, PAC ID# 5496780991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1912990714 |
| PAC ID by PECOS | 5496780991 |
| Professional Enrollment ID | I20051004000464 |
| Full Name | Kenny B Holloway |
| Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Address |
123 W Main St A Cartersville GA 30120-3507 |
| Phone Number | 4708882044 |
| Gender | M |
| Credential | OD |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8224261201 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 123 W Main St, A, Cartersville, GA 30120-3507 | 4708882044 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kwon Jung Choe | Optometry | Myeyedr Optometry of Georgia, LLC | 3975 Old Milton Pkwy, Suite 2, Alpharetta, GA 30005-4467 |
| Danny J Garcia | Optometry | Myeyedr Optometry of Georgia, LLC | 4521 17th Ave, Columbus, GA 31904-6344 |
| Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| Katie Lynn Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2003 Commerce Dr, Kingsland, GA 31548-6767 |
| Rafael A Gamba | Optometry | Myeyedr Optometry of Georgia, LLC | 5940 Roswell Rd, Atlanta, GA 30328-4908 |
| Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
| Tsani R Watson | Optometry | Myeyedr Optometry of Georgia, LLC | 3155 Cobb Pkwy Se, Suite 110, Atlanta, GA 30339-5535 |
| Robert Adam Young | Optometry | Myeyedr Optometry of Georgia, LLC | 9801 Hwy 92, Suite 100, Woodstock, GA 30188-6454 |
| Romanda Basaly Basaly Demetrios | Optometry | Myeyedr Optometry of Georgia, LLC | 12924 Hwy 92, Suite 100, Woodstock, GA 30188-5193 |
| Jarvis Dewayne Johnson | Optometry | Myeyedr Optometry of Georgia, LLC | 2485 N Columbia St, Milledgeville, GA 31061-5421 |
| Street Address |
123 W MAIN ST A |
| City | CARTERSVILLE |
| State | GA |
| Zip | 30120-3507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Patterson | Chiropractic | 1010 N Tn St, Suite 116, Cartersville, GA 30120 | |
| Timothy J Lin | Pulmonary Disease | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Rebekah Smithey | Nurse Practitioner | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Angel T Brown | Pulmonary Disease | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Jill L Kachinsky | Chiropractic | 607 N Tennessee St, Cartersville, GA 30120-1697 | |
| Quyen Ta | Nurse Practitioner | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Staci Nichole Kenner | Obstetrics/gynecology | Cartersville Ob/gyn Associates | 958 A Joe Frank Harris Pkwy, Suite 102, Cartersville, GA 30120-2129 |
| Clifford N Grossman | Interventional Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Brandon C Grinage | Anesthesiology | Sheridan Anesthesia Services of North Georgia, PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| David B Warren | Obstetrics/gynecology | Harbin Clinic LLC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Find all physicians in zip 30120 | |||
| City | CARTERSVILLE |
| Zip Code | 30120 |
| Specialty | OPTOMETRY |
| City + Specialty | CARTERSVILLE + OPTOMETRY |
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| 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.