IndividualActive
Mark Holowka, CPO
NPI 1619687597 · Orthotist · Atlanta, GA
Provider details
- NPI number
- 1619687597
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- License
- 110 (GA)
Practice location
5445 Meridian Mark Rd Ste 200
Atlanta, GA 30342-4755
Phone: (404) 785-3229
Fax: (404) 785-5690
Mailing address
470 Elgaen Ct
Roswell, GA 30075-2588
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2022-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.