Individual
HARRY HOLIDAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 MEDICAL GROUP, 3278 MITCHELL BLVD, MOODY A F B, GA 31699-0001
(229) 257-4304
Mailing address
347 MEDICAL GROUP, 3278 MITCHELL BLVD, MOODY A F B, GA 31699-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010595
GA
Other
Enumeration date
11/29/2005
Last updated
07/08/2007
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