MEDICARE: DR. GAIL G. MCGEE PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	001628	GA

General Provider Information

NPI Number	:	1093811671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL G. MCGEE PH.D.

Provider Business Mailing Address
First Line	:	1551 SHOUP CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-727-8350
Fax Number	:	404-727-3969

Provider Business Practice Location Address
First Line	:	1551 SHOUP CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-727-8350
Fax Number	:	404-727-3969

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	07/08/2007

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