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NPI Code Detail

MEDICARE: ALCIE MCGEE IV

MEDICARE: ALCIE MCGEE IV
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1154812741
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALCIE MCGEE IV
Provider Business Mailing Address
First Line : 14262 CEDAR POINTE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-5921
Country : US
Telephone Number : 504-338-0360
Fax Number :
Provider Business Practice Location Address
First Line : 14262 CEDAR POINTE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-5921
Country : US
Telephone Number : 504-338-0360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2018
Last Update Date : 05/20/2018

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Directions to “ ALCIE MCGEE IV ” Practice Location

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