Keith Lennell Mcrae in Gainesville - General Practice
Keith Lennell Mcrae - NPI 1508917089
Keith Lennell Mcrae is a General Practice in Gainesville, Georgia. Keith Lennell Mcrae practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keith Lennell Mcrae is 1508917089. The last update date is 2007-07-08.
Keith Lennell Mcrae's current location address is 416 Broad St Se, Gainesville, Georgia. You can contact this provider via phone number 7705350445 and fax number 7705352939. The mailing address for Keith Lennell Mcrae is 416 Broad St Se, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Lennell Mcrae |
|---|---|
| Address | 416 Broad St Se, Gainesville, Georgia |
| Phone Number | 7705350445 |
| Fax Number | 7705352939 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1508917089 |
|---|---|
| Provider Enumeration Date | 2007-01-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 416 Broad St Se |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 305013726 |
| Phone Number | 7705350445 |
| Fax Number | 7705352939 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 10047 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00292608A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Keith Lennell Mcrae by the Centers for Medicare & Medicaid Services?
The Keith Lennell Mcrae has been issued the NPI (National Provider Identifier) 1508917089, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Keith Lennell Mcrae is physically located?
The Keith Lennell Mcrae is physically situated at the following address: 416 Broad St Se, Gainesville, GA, 305013726.
What is Keith Lennell Mcrae's area of expertise and its corresponding taxonomy classification?
The Keith Lennell Mcrae's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did Keith Lennell Mcrae receive its 1508917089 assignment from the Centers for Medicare & Medicaid Services?
The Keith Lennell Mcrae was assigned its 1508917089 on 2007-01-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Keith Lennell Mcrae most recently updated?
The details pertaining to the Keith Lennell Mcrae, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.