MEDICARE: CONTANCE JEAN MCKEE 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
1	2084P0800X	Psychiatry Physician	035689	GA

General Provider Information

NPI Number	:	1649228644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONTANCE JEAN MCKEE MD

Provider Business Mailing Address
First Line	:	P. O. BOX 370407
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30034-3828
Country	:	US
Telephone Number	:	404-243-2100
Fax Number	:	404-243-2159

Provider Business Practice Location Address
First Line	:	3073 PANTHERSVILLE RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30034-3828
Country	:	US
Telephone Number	:	404-243-2100
Fax Number	:	404-243-2159

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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