Individual
DR. SALLY GRANT HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
11 BUSINESS CENTER DR, SUITE 105, EASTANOLLEE, GA 30538-3254
(864) 723-5220
Mailing address
105 REMUS DR, WALHALLA, SC 29691-4927
(864) 723-5220
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4621
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013947
GA
Other
Enumeration date
09/24/2008
Last updated
08/31/2009
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