=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053407890
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES W MCGEE MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2006
-----------------------------------------------------
Last Update Date | 07/09/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1323 EAST WOOD STREET
-----------------------------------------------------
City | PARIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38242-4421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 731-642-2011
-----------------------------------------------------
Fax | 731-644-2758
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1323 EAST WOOD STREET P O BOX 1089
-----------------------------------------------------
City | PARIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38242-4421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 731-642-2011
-----------------------------------------------------
Fax | 731-644-2758
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | MD0000018055
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------