Individual
DR. JOSHUA TYLER GREENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3119 N OAK STREET EXT, VALDOSTA, GA 31602-1008
(229) 249-0717
Mailing address
1204 WESTWOOD DR, VALDOSTA, GA 31602-1219
(478) 206-0578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123481
GA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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