Provider Demographics
NPI:1154390136
Name:HOLLOWAY, GEORGE BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:BRIAN
Last Name:HOLLOWAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 FORT SANDERS WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3355
Mailing Address - Country:US
Mailing Address - Phone:865-769-4500
Mailing Address - Fax:865-769-4557
Practice Address - Street 1:260 FORT SANDERS WEST BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3355
Practice Address - Country:US
Practice Address - Phone:865-558-4400
Practice Address - Fax:865-769-4536
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD30355207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN200033048OtherRAILROAD MEDICARE
TN3823288Medicaid
TNTN0164OtherJOHN DEERE HEALTHCARE
TN3099113OtherBLUE CROSS BLUE SHIELD
TN5177700OtherAETNA
TNTN0163OtherJOHN DEERE HEALTH CARE
TN100010165OtherTENNCARE
G72778Medicare UPIN
3823289Medicare ID - Type Unspecified
TN100010165OtherTENNCARE
TN38232880Medicare PIN
TN3099113OtherBLUE CROSS BLUE SHIELD