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NPI Code Detail

MEDICARE: MRS. JINA LEE MCATEE MD

MEDICARE: MRS. JINA LEE MCATEE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician108135MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023010998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JINA LEE MCATEE MD
Provider Business Mailing Address
First Line : 401 HOLLY HILLS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63111-2410
Country : US
Telephone Number : 314-353-5190
Fax Number : 314-353-1310
Provider Business Practice Location Address
First Line : 401 HOLLY HILLS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63111-2410
Country : US
Telephone Number : 314-353-5190
Fax Number : 314-353-1310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 01/18/2022

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