| Mcrae-wilson Oral And Maxillofacial Surgery Group | |
|
5565 Murray Rd Memphis TN 38119-3879 | |
| (901) 767-0088 | |
| (901) 767-2538 |
| Full Name | Mcrae-wilson Oral And Maxillofacial Surgery Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5565 Murray Rd, Memphis, Tennessee |
| Authorized Official Name and Position | Joseph Lawrence Mcrae (OWNER) |
| Authorized Official Contact | 9017670088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcrae-wilson Oral And Maxillofacial Surgery Group 5565 Murray Rd Memphis TN 38119-3879 Ph: (901) 767-0088 | Mcrae-wilson Oral And Maxillofacial Surgery Group 5565 Murray Rd Memphis TN 38119-3879 Ph: (901) 767-0088 |
| NPI Number | 1619162187 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619162187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3587 (Tennessee) | Primary |
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