Healthcare Provider Details

I. General information

NPI: 1932040284
Provider Name (Legal Business Name): JOSHUA AGEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 N STATE ST STE 400
JACKSON MS
39202-2413
US

IV. Provider business mailing address

944 21ST AVE N APT 915
NASHVILLE TN
37208-3468
US

V. Phone/Fax

Practice location:
  • Phone: 769-268-6770
  • Fax:
Mailing address:
  • Phone: 513-620-0506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: