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NPI Code Detail

MEDICARE: DR. JIMMY SHAWN MCGEHEE D.C.

MEDICARE:  DR. JIMMY SHAWN MCGEHEE  D.C.
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
1111N00000XChiropractor1457AR

General Provider Information

NPI Number : 1124025234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIMMY SHAWN MCGEHEE D.C.
Provider Business Mailing Address
First Line : 523 HARKRIDER ST
Second Line :
City : CONWAY
State : AR
Zip : 72032-5631
Country : US
Telephone Number : 501-327-4484
Fax Number : 501-327-5963
Provider Business Practice Location Address
First Line : 523 HARKRIDER ST
Second Line :
City : CONWAY
State : AR
Zip : 72032-5631
Country : US
Telephone Number : 501-327-4484
Fax Number : 501-327-5963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/21/2022

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Directions to “ DR. JIMMY SHAWN MCGEHEE D.C.” Practice Location

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