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NPI 1134120868

NPI 1134120868 : MICHAEL ALLEN MAGEE M.D. : KINGSPORT, TN

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General NPI Number Information
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    NPI Number           |    1134120868
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL ALLEN MAGEE M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/03/2005
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    2412 N JOHN B DENNIS HWY 
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    City                 |    KINGSPORT
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    State                |    TN
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    Zip                  |    37660-4772
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    Country              |    US
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    Telephone            |    423-578-4364
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9050 EXECUTIVE PARK DR STE 202A 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37923-4670
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    Country              |    US
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    Telephone            |    423-756-1512
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    27826
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    L0391
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207WX0107X
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    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
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    License Number       |    34660
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    License Number State |    TN
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