Organization
MARSHA JORDAN HOLLOWAY, LLC
Active
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
200 12TH ST W, SUITE F, TIFTON, GA 31794-3978
(229) 386-1616
(229) 386-4828
Mailing address
200 12TH ST W, SUITE F, TIFTON, GA 31794-3978
(229) 386-1616
(229) 386-4828
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010688
GA
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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