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
1	1223G0001X	General Practice Dentistry	DN011740	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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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Directions to “ DR. JAMES MYRICK MCGEE I D.M.D.” Practice Location

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