Healthcare Provider Details

I. General information

NPI: 1275601627
Provider Name (Legal Business Name): CHERYL A MCGEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 01/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8294 OLD COURTHOUSE RD STE A
VIENNA VA
22182-3871
US

IV. Provider business mailing address

1555 CALIFRONIA ST. #307 C/O MEAGHAN TURNER
DENVER CO
80202
US

V. Phone/Fax

Practice location:
  • Phone: 703-356-7882
  • Fax:
Mailing address:
  • Phone: 571-437-7683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101025896
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: