Search › Georgia › 363L00000X
Sean Holloway, AGACNP-BC / FNP-BC
NPI 1306399670 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1600 Vernon Rd Ste A
Lagrange, GA 30240 - Phone
- (706) 803-8799
- Organisation at this address
- West Georgia Medical Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 9555 Sw 162nd Ave, Miami, FL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163WE0003X
363LA2100X
363LF0000X - Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia