| Jamesbmoncrief,ddspc | |
|
700 Oglethorpe Ave Athens GA 30606-2221 | |
| (706) 549-5604 | |
| (706) 549-6876 |
| Full Name | Jamesbmoncrief,ddspc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 700 Oglethorpe Ave, Athens, Georgia |
| Authorized Official Name and Position | James Burton Moncrief (PRESIDENT) |
| Authorized Official Contact | 7065495604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamesbmoncrief,ddspc 700 Oglethorpe Ave Athens GA 30606-2221 Ph: (706) 549-5604 | Jamesbmoncrief,ddspc 700 Oglethorpe Ave Athens GA 30606-2221 Ph: (706) 549-5604 |
| NPI Number | 1184795627 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184795627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 7455 (Georgia) | Primary |
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