Healthcare Provider Details
I. General information
NPI: 1942401690
Provider Name (Legal Business Name): L.S. MCGEE,JR., M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/30/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 W MIDTOWN PARK SUITE C
MOBILE AL
36606-4139
US
IV. Provider business mailing address
15 W MIDTOWN PARK SUITE C
MOBILE AL
36606-4139
US
V. Phone/Fax
- Phone: 251-432-2701
- Fax: 251-432-0469
- Phone: 251-432-2701
- Fax: 251-432-0469
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | 00001342 |
| License Number State | AL |
VIII. Authorized Official
Name: DR.
LAWRENCE
S.
MCGEE
JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 251-432-2701