Individual
DR. THOMAS ROY MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1010 PRINCE AVE, SUITE 104E, ATHENS, GA 30606-5805
(706) 543-8208
(706) 543-8217
Mailing address
1010 PRINCE AVE, SUITE 104E, ATHENS, GA 30606-5805
(706) 543-8208
(706) 543-8217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9818
GA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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