| Mcrae Family Dental Pc | |
|
995 Baxter Street Athens GA 30606 | |
| (706) 546-8480 | |
| (706) 546-8418 |
| Full Name | Mcrae Family Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 995 Baxter Street, Athens, Georgia |
| Authorized Official Name and Position | Matthew Jr Mcrae (PRESIDENT) |
| Authorized Official Contact | 7065468480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcrae Family Dental Pc 995 Baxter Street Athens GA 30606 Ph: (706) 546-8480 | Mcrae Family Dental Pc 995 Baxter Street Athens GA 30606 Ph: (706) 546-8480 |
| NPI Number | 1487812103 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487812103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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