Individual
DR. MATTHEW MCRAE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
995 BAXTER ST, ATHENS, GA 30606-3705
(706) 546-8480
Mailing address
1578 ARCHER GROVE SCHOOL RD, ATHENS, GA 30607-2875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA8133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000050322A
—
GA
Enumeration date
11/08/2006
Last updated
03/25/2008
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