MEDICARE: JESSE E. MCGEE MD PC

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	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1568662229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JESSE E. MCGEE MD PC

Provider Business Mailing Address
First Line	:	4567 MILLBRANCH RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116
Country	:	US
Telephone Number	:	901-345-1454
Fax Number	:	901-345-1456

Provider Business Practice Location Address
First Line	:	4567 MILLBRANCH RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38116-7437
Country	:	US
Telephone Number	:	901-345-1454
Fax Number	:	901-345-1456

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JESSE EDWARD MCGEE
Credential	:	M.D.
Telephone Number	:	901-345-1454

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	07/20/2007

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