Provider Demographics
NPI:1447314281
Name:HOLLOWAY, MICHAEL DAVID (PAC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DAVID
Last Name:HOLLOWAY
Suffix:
Gender:M
Credentials:PAC
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Mailing Address - Street 1:6032 FM 3009 120
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3443
Mailing Address - Country:US
Mailing Address - Phone:210-878-4033
Mailing Address - Fax:
Practice Address - Street 1:RHC
Practice Address - Street 2:BLDG C 1722 TAGAYTAY ST
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310
Practice Address - Country:US
Practice Address - Phone:910-907-8282
Practice Address - Fax:910-907-9060
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2020-02-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant