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Contact Information

JACOB H HOLLEY III, MD
214 CHERRY ST
DONALSONVILLE, GA39845-1616
 Phone: 229-524-2232
 Fax: 229-524-8766
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JACOB H HOLLEY III · (Male)

NPI # 1962842013
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2013
Last updated 01/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 81053
  • SC License # 36063
Hospital affiliation(s)
  • DONALSONVILLE HOSPITAL INC - (Acute Care)
    102 HOSPITAL CIR
    DONALSONVILLE, GA 39845
  • MEMORIAL HOSPITAL AND MANOR - (Acute Care)
    1500 E SHOTWELL STREET
    BAINBRIDGE, GA 39819
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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