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 provides Specialist services 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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