| Holliday Orthodontics | |
|
11 Business Center Dr Suite 105 Eastanollee GA 30538-3254 | |
| (706) 827-0088 | |
| Not Available |
| Full Name | Holliday Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11 Business Center Dr, Eastanollee, Georgia |
| Authorized Official Name and Position | Sally Grant Holliday (CEO) |
| Authorized Official Contact | 8647235220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holliday Orthodontics 11 Business Center Dr Suite 105 Eastanollee GA 30538-3254 Ph: (706) 827-0088 | Holliday Orthodontics 11 Business Center Dr Suite 105 Eastanollee GA 30538-3254 Ph: (706) 827-0088 |
| NPI Number | 1407089055 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 12/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407089055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013947 (Georgia) | Primary |
| 261QD0000X | Clinic/center - Dental | 4621 (South Carolina) | Secondary |
Lowery Dental Group Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Memorial Dr, Eastanollee, GA 30538 Phone: 706-886-8472 Fax: 706-886-5664 |