Healthcare Provider Details

I. General information

NPI: 1114161411
Provider Name (Legal Business Name): MEGAN JEAN MCKEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2009
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 KLONDIKE RD SW SUITE 106
CONYERS GA
30094-5169
US

IV. Provider business mailing address

1498 KLONDIKE RD SW SUITE 106
CONYERS GA
30094-5169
US

V. Phone/Fax

Practice location:
  • Phone: 770-761-7260
  • Fax: 678-413-1818
Mailing address:
  • Phone: 770-761-7260
  • Fax: 678-413-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number658850
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2012-00897
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number065850
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number065850
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: