Healthcare Provider Details

I. General information

NPI: 1366481913
Provider Name (Legal Business Name): MARY HEATHER PERRY MCGEE D.M.D., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 SHERWOOD PARK DR NE
GAINESVILLE GA
30501-3444
US

IV. Provider business mailing address

1205 SHERWOOD PARK DR NE
GAINESVILLE GA
30501-3444
US

V. Phone/Fax

Practice location:
  • Phone: 770-536-0201
  • Fax: 770-531-0000
Mailing address:
  • Phone: 770-536-0201
  • Fax: 770-531-0000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number012062
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: