Individual
DR. GRESHAM ROYAL HOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.,LMFT
Contact information
Practice address
3757 JOHNSTON RD, VALDOSTA, GA 31601-2105
(229) 559-5944
(229) 559-7760
Mailing address
3543 RAINTREE DR, VALDOSTA, GA 31601-2147
(229) 559-6389
(229) 559-7760
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000396
GA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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