MEDICARE: STEPHANIE S GEE M.D.

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
1	2084P0800X	Psychiatry Physician	ME 99300	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02443	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356311658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE S GEE M.D.

Provider Business Mailing Address
First Line	:	2410 BEMISS RD STE B
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-4827
Country	:	US
Telephone Number	:	229-249-8188
Fax Number	:	229-219-8511

Provider Business Practice Location Address
First Line	:	2410 BEMISS RD STE B
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-4827
Country	:	US
Telephone Number	:	229-249-8188
Fax Number	:	229-219-8511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	01/15/2009

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