Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holistic Gynecology, Inc

Organization Specialist · NPI 1700971504

Holistic Gynecology, Inc is a Specialist in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2785 Lawrenceville Hwy Ste 107
Decatur, GA 30033-2515
Phone: (678) 205-0405
Fax: (678) 205-0416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 033289 (GA)

Record details

NPI number1700971504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juaquita Callaway — Owner · (678) 205-0405
NPI enumeratedOctober 4, 2006
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020
Mailing address1681 Frazier Park Dr., Decatur, Decatur, GA 30033-0398

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