Healthcare Provider Details

I. General information

NPI: 1770558579
Provider Name (Legal Business Name): DAVID JAMES MAGEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 05/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S GRANT AVE 3RD FLOOR RADIOLOGY DEPT
COLUMBUS OH
43215-4701
US

IV. Provider business mailing address

1331 N ELM ST SUITE 200
GREENSBORO NC
27401-6302
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-9231
  • Fax: 614-566-8385
Mailing address:
  • Phone: 336-274-9617
  • Fax: 336-482-2177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35-05-8229-M
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number35096082
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: