Miss Marsha Jordan Holloway
Orthodontists
200 12th St W Suite F
Tifton
, Georgia 31794-3978
Miss Marsha Jordan Holloway
Orthodontists
200 12th St W Suite F
Tifton
, Georgia 31794-3978
(229) 386-4828
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Miss Marsha Jordan Holloway
- 200 12th St W Suite F
- Tifton, GA
- Zip : 31794-3978
- Fax : (229) 386-4828
- Phone : (229) 386-1616
Second Address
- Miss Marsha Jordan Holloway
- 200 12th St W Suite F
- Tifton, GA
- Zip : 31794-3978
- Fax : (229) 386-4828
- Phone : (229) 386-1616
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 010688 | GA |
National Provider Identifier
| NPI | 1003885450 |
|---|---|
| Provider Name | Miss Marsha Jordan Holloway |
| First Address | Tifton, GA 31794-3978 |
| Second Address | Tifton, GA 31794-3978 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.