Organization
DR SIDNEY HOLCOMB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M BELL (AST/INS)
(478) 471-6060
Entity
Organization
Contact information
Practice address
4366 LOG CABIN DR, MACON, GA 31204-5604
(478) 471-6060
(478) 476-8009
Mailing address
4366 LOG CABIN DR, MACON, GA 31204-5604
(478) 471-6060
(478) 476-8009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00049981A
—
GA
05
—
000703227A
—
GA
Enumeration date
07/14/2008
Last updated
07/14/2008
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