Mr. Thadeus Mandrall Holloway

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NPI Number Detailed Information

Provider Information:

Name:	Mr. Thadeus Mandrall Holloway
Gender:	M
Provider License Number If Given:	LPC006790

NPI Information:

NPI:	1245597848
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	4/19/2012
Last Update Date:	10/20/2014

Provider Business Mailing Address:

Address:	PO BOX 172 305 WEST SPRING STREET Mount Vernon, GA 30445
Phone Number:	9124231000
Fax Number:	9125830115

Provider Business Practice Location Address:

Address:	305 W SPRING ST BOX 172 Mount Vernon, GA 30445
Phone Number:	9124231000
Fax Number:	9125830115

Provider Taxonomy:

Primary:	101Y00000X
Secondary (if any):	101YA0400X
State:	GA

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About Mr. Thadeus Mandrall Holloway

Mr. Thadeus Mandrall Holloway (MR. THADEUS MANDRALL HOLLOWAY ) is A Counselor Physician in Mount Vernon, GA. The NPI Number for Mr. Thadeus Mandrall Holloway is 1245597848.

The current location address for Mr. Thadeus Mandrall Holloway is 305 W SPRING ST BOX 172 Mount Vernon, GA 30445 and the contact number is 9124231000 and fax number is 9125830115. The mailing address for Mr. Thadeus Mandrall Holloway is PO BOX 172 305 WEST SPRING STREET Mount Vernon, GA 30445- 9124231000 (mailing address contact number - 9124231000).

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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FAQs:

What is the NPI Number for Mr. Thadeus Mandrall Holloway ?

Answer: The NPI Number for Mr. Thadeus Mandrall Holloway is 1245597848

Where is Mr. Thadeus Mandrall Holloway located?

Answer: Mr. Thadeus Mandrall Holloway is located at 305 W SPRING ST BOX 172 Mount Vernon, GA 30445.

What is the specialty for Mr. Thadeus Mandrall Holloway ?

Answer: The Specialty of Mr. Thadeus Mandrall Holloway is A Counselor Physician.

Are there any online reviews for Mr. Thadeus Mandrall Holloway ?

Answer: Not yet!

Are there any other health care providers in Mount Vernon, GA?

Answer: Yes, there are given below...

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Mr. Thadeus Mandrall Holloway
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NPI Number: 1245597848
Address: 305 W SPRING ST BOX 172 Mount Vernon, GA 30445 , Phone: 9124231000

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