MEDICARE: MEREDITH P MCKEE 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	207Q00000X	Family Medicine Physician		NC

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	:	1710949540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH P MCKEE MD

Provider Business Mailing Address
First Line	:	2000 FRONTIS PLAZA BLVD STE 200
Second Line	:	ATTN FORSYTH MEDICAL GROUP
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-5616
Country	:	US
Telephone Number	:	336-277-2436
Fax Number	:

Provider Business Practice Location Address
First Line	:	7811 N POINT BLVD
Second Line	:
City	:	WINSTON-SALEM
State	:	NC
Zip	:	27106-3209
Country	:	US
Telephone Number	:	336-759-0700
Fax Number	:

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	07/08/2007

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