Individual
DR. KESHA LENITA MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5193 PEACHTREE BLVD STE C, CHAMBLEE, GA 30341-2847
(470) 541-2427
Mailing address
416 BROAD ST SE, GAINESVILLE, GA 30501-3726
(770) 535-0445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN014666
GA
1223G0001X
General Practice Dentistry
Primary
DN014666
GA
Other
Enumeration date
10/01/2013
Last updated
04/12/2024
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