Holliday Orthodontics

NPI 1407089055 - Clinic/Center - 261QD0000X

NPI Details
NPI 1407089055
Enumeration Date 08/31/2009
Last Updated 12/11/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SALLY GRANT SALLY
Position CEO
Phone (706) 827-0088
Fax
Practice Location
11 BUSINESS CENTER DR
SUITE 105
EASTANOLLEE GA, 30538-3254, US
Phone (706) 827-0088
Fax
Business Location
11 BUSINESS CENTER DR
SUITE 105
EASTANOLLEE GA, 30538-3254, US
Phone (706) 827-0088
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State South Carolina
License Number 4621
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According to our database, Holliday Orthodontics NPI is 1407089055, taxonomy code is 261QD0000X and license number is 4621, license state is located at South Carolina. Holliday Orthodontics physically located at 11 Business Center Dr, Eastanollee GA, 30538-3254. NPI Number 1033115704 has the healthcare provider type.

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1407089055 NPI number is provided on an as is basis without warranty of any kind. 1407089055 is maintained by the National Plan & Provider Enumeration System. The contents of Holliday Orthodontics are for informational purposes only.