Individual provider · Type 1 NPI

Jon Mallory McRae Iii, MD

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1780487405 Active

Practice location

920 Madison Ave Suite 447
Memphis, TN 38163-1803

Mailing address

200 Church St
Nashville, TN 37201-1613

Other practice locations

  • 1633 1st Ave, Columbus, GA 31901-1803 · (800) 637-2378

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780487405

Jon Mallory McRae Iii, MD's National Provider Identifier is 1780487405, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Mar 31, 2025.