Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JODIE SUSAN HOLLOWAY, M.D.
Active Sole ProprietorDR. JODIE SUSAN HOLLOWAY, M.D. is a Legal Medicine healthcare provider located in MANDEVILLE, Louisiana. NPI 1992921688 is currently active in the NPPES registry. Verify at CMS.
Legal Medicine · MANDEVILLE, LA
Registration Details
- NPI Number
- 1992921688
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2007 (19.350803792239 yrs)
- Last Updated
- Jul 8, 2007
- License
-
019557 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 RANDOM OAKS LNMANDEVILLE, LA, 704484565Browse LA providers · Browse ZIP 70448
- Phone
- 9856740988
- Fax
- 9856745308
- Primary Specialty
-
Legal Medicine
173000000X
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.