Organization
MARSHA JORDAN HOLLOWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA COOPER (INSURANCE COORDINATOR)
(229) 386-1616
Entity
Organization
Contact information
Practice address
2547 LAFAYETTE PLAZA DR, ALBANY, GA 31707-2200
(229) 438-8228
(229) 438-0543
Mailing address
2547 LAFAYETTE PLAZA DR, ALBANY, GA 31707-2200
(229) 438-8228
(229) 438-0543
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010688
GA
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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