Individual
MISS MARSHA JORDAN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.,M.S.
Contact information
Practice address
200 12TH ST W, SUITE F, TIFTON, GA 31794-3978
(229) 386-1616
(229) 386-4828
Mailing address
200 12TH ST W, SUITE F, TIFTON, GA 31794-3978
(229) 386-1616
(229) 386-4828
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010688
GA
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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