Jon Mallory Mcrae in Bainbridge - Specialist
Jon Mallory Mcrae - NPI 1700890274
Jon Mallory Mcrae is a Specialist in Bainbridge, Georgia. Jon Mallory Mcrae practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jon Mallory Mcrae is 1700890274. The last update date is 2019-03-07.
Jon Mallory Mcrae's current location address is 1518 Miluli Ave, Bainbridge, Georgia. You can contact this provider via phone number 2292488500 and fax number 2292488600. The mailing address for Jon Mallory Mcrae is 1518 Miluli Ave, Bainbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Mallory Mcrae |
|---|---|
| Address | 1518 Miluli Ave, Bainbridge, Georgia |
| Phone Number | 2292488500 |
| Fax Number | 2292488600 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700890274 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2019-03-07 |
Provider Mailing Address Detail
| Address | 1518 Miluli Ave |
|---|---|
| City | Bainbridge |
| State | Georgia (GA) |
| Post Code | 398194866 |
| Phone Number | 2292488500 |
| Fax Number | 2292488600 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 50218 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000911842B | GA | -- | |
| 00911842A | GA | -- |
Post Comment/ Review Below
What is the Jon Mallory Mcrae's 1700890274?
The Jon Mallory Mcrae's NPI (National Provider Identifier) Number is 1700890274. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jon Mallory Mcrae?
The Jon Mallory Mcrae is situated at 1518 Miluli Ave, in the city of Bainbridge, state of GA, with the zip code 398194866.
What is the Jon Mallory Mcrae's specialty and taxonomy code?
The Jon Mallory Mcrae's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Jon Mallory Mcrae receive its 1700890274 assignment?
The Jon Mallory Mcrae was assigned its 1700890274 on 2006-07-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jon Mallory Mcrae last refreshed?
The information related to the Jon Mallory Mcrae, including its address, specialty, and other relevant details, was last updated on 2019-03-07.
NPI Number: 1376546309
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