Organization
JAMES J. MCDONALD JR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J MCDONALD JR. DMD (OWNER)
(706) 548-0604
Entity
Organization
Contact information
Practice address
1010 PRINCE AVE, SUITE 103 SOUTH, ATHENS, GA 30606-5805
(706) 548-0604
(706) 353-0884
Mailing address
1010 PRINCE AVE, SUITE 103 SOUTH, ATHENS, GA 30606-5805
(706) 548-0604
(706) 353-0884
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9015
GA
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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