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Organization
JAMESBMONCRIEF,DDSPC
Active
Organization
JAMESBMONCRIEF,DDSPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BURTON MONCRIEF DDS (PRESIDENT)
(706) 549-5604
Entity
Organization
Contact information
Practice address
700 OGLETHORPE AVE, ATHENS, GA 30606-2221
(706) 549-5604
(706) 549-6876
Mailing address
700 OGLETHORPE AVE, ATHENS, GA 30606-2221
(706) 549-5604
(706) 549-6876
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7455
GA
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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