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NPI Code Detail

MEDICARE: DR. JAMES MYRICK MCGEE I D.M.D.

MEDICARE:  DR. JAMES MYRICK MCGEE I D.M.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
11223G0001XGeneral Practice DentistryDN011740GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356347447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES MYRICK MCGEE I D.M.D.
Provider Business Mailing Address
First Line : 1425 BRAWLEY CIR NE
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30319-1710
Country : US
Telephone Number : 404-852-9574
Fax Number :
Provider Business Practice Location Address
First Line : 2120 ROCKBRIDGE RD
Second Line :
City : STONE MOUNTAIN
State : GA
Zip : 30087-3514
Country : US
Telephone Number : 770-879-4510
Fax Number : 770-879-4512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 10/23/2019

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