Provider Demographics
NPI:1194082479
Name:HOLLAR, MATTHEW WEBSTER (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:WEBSTER
Last Name:HOLLAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2146 BELCOURT AVE
Mailing Address - Street 2:VMG BUSINESS OFFICE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1485 JESSE JEWELL PKWY NE
Practice Address - Street 2:STE 100
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3801
Practice Address - Country:US
Practice Address - Phone:770-534-1711
Practice Address - Fax:770-534-9158
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2016-06-22
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Provider Licenses
StateLicense IDTaxonomies
390200000X
GA076031207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I186696OtherMEDICARE PROVIDER