Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OCTAVIA RAQUEL HOLLOWAY-FREEMAN, NP-C
Active Sole ProprietorOCTAVIA RAQUEL HOLLOWAY-FREEMAN, NP-C is a Adolescent Medicine healthcare provider located in STATESBORO, Georgia. NPI 1518590744 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · STATESBORO, GA
Registration Details
- NPI Number
- 1518590744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2020 (6.5076780462376 yrs)
- Last Updated
- Feb 17, 2020
- License
-
184049 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 DENMARK STSTATESBORO, GA, 304585208Browse GA providers · Browse ZIP 30458
- Phone
- 9129963943
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.