Healthcare Provider Details

I. General information

NPI: 1982690814
Provider Name (Legal Business Name): JEFFREY FLOYD MCADOO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 10/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 HOSPITAL DR SUITE 110
ATHENS OH
45701-2857
US

IV. Provider business mailing address

75 HOSPITAL DR SUITE 110
ATHENS OH
45701-2857
US

V. Phone/Fax

Practice location:
  • Phone: 740-592-4461
  • Fax: 740-592-5899
Mailing address:
  • Phone: 740-592-4461
  • Fax: 740-592-5899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35057142
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: