MEDICARE: CAROLINE CAMPBELL MCGEE MD

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	2083P0901X	Public Health & General Preventive Medicine Physician	015976	TN

General Provider Information

NPI Number	:	1467664623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE CAMPBELL MCGEE MD

Provider Business Mailing Address
First Line	:	2139 CREEKWALK DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-1798
Country	:	US
Telephone Number	:	615-216-5638
Fax Number	:	615-261-8659

Provider Business Practice Location Address
First Line	:	586 FORTRESS BLVD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-4128
Country	:	US
Telephone Number	:	615-424-9676
Fax Number	:	615-893-4021

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

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