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1972141935
ELISSE MACKAY
ATHENS, GA
NPI
1972141935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA DN015988)
Enumeration Date
2019-12-20
Last Update Date
2019-12-20
Business Address
ELISSE MACKAY DMD
995 BAXTER ST
ATHENS, GA 30606-3705
Phone number: 706-546-8480
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Mailing Address
ELISSE MACKAY DMD
1011 SAINT ANDREWS DR
WATKINSVILLE, GA 30677-7740
Phone number:
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