Marsha Jordan Holloway in Tifton - Orthodontics And Dentofacial Orthopedics
Marsha Jordan Holloway - NPI 1003885450
Marsha Jordan Holloway is a Orthodontics And Dentofacial Orthopedics in Tifton, Georgia. Marsha Jordan Holloway practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Marsha Jordan Holloway is 1003885450. The last update date is 2007-07-08.
Marsha Jordan Holloway's current location address is 200 12th St W, Tifton, Georgia. You can contact this provider via phone number 2293861616 and fax number 2293864828. The mailing address for Marsha Jordan Holloway is 200 12th St W, Tifton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marsha Jordan Holloway |
|---|---|
| Address | 200 12th St W, Tifton, Georgia |
| Phone Number | 2293861616 |
| Fax Number | 2293864828 |
| Sole Proprietor | N |
| Credentials | D.M.D.,M.S |
NPI Number Detail
| NPI Number | 1003885450 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 12th St W |
|---|---|
| City | Tifton |
| State | Georgia (GA) |
| Post Code | 317943978 |
| Phone Number | 2293861616 |
| Fax Number | 2293864828 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 10688 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marsha Jordan Holloway by the Centers for Medicare & Medicaid Services?
The Marsha Jordan Holloway has been issued the NPI (National Provider Identifier) 1003885450, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Marsha Jordan Holloway is physically located?
The Marsha Jordan Holloway is physically situated at the following address: 200 12Th St W, Tifton, GA, 317943978.
What is the Marsha Jordan Holloway's specialty and taxonomy code?
The Marsha Jordan Holloway's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
When did the Marsha Jordan Holloway receive its 1003885450?
The Marsha Jordan Holloway was issued its 1003885450 on 2006-03-17, which is the date when the organization was assigned this unique identifier.
When was the information related to Marsha Jordan Holloway most recently updated or refreshed?
The details pertaining to the Marsha Jordan Holloway, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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