Healthcare Provider Details

I. General information

NPI: 1134120868
Provider Name (Legal Business Name): MICHAEL ALLEN MAGEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 N JOHN B DENNIS HWY
KINGSPORT TN
37660-4772
US

IV. Provider business mailing address

9050 EXECUTIVE PARK DR STE 202A
KNOXVILLE TN
37923-4670
US

V. Phone/Fax

Practice location:
  • Phone: 423-578-4364
  • Fax:
Mailing address:
  • Phone: 423-756-1512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number27826
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberL0391
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number34660
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: