Healthcare Provider Details
I. General information
NPI: 1053407890
Provider Name (Legal Business Name): JAMES W MCGEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/05/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1323 EAST WOOD STREET
PARIS TN
38242-4421
US
IV. Provider business mailing address
1323 EAST WOOD STREET P O BOX 1089
PARIS TN
38242-4421
US
V. Phone/Fax
- Phone: 731-642-2011
- Fax: 731-644-2758
- Phone: 731-642-2011
- Fax: 731-644-2758
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MD0000018055 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: