MEDICARE: COURTNEY MCGEE PA

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	363AM0700X	Medical Physician Assistant	PA9106693	FL

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	:	1740539535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY MCGEE PA

Provider Business Mailing Address
First Line	:	319 GREEN ACRES RD STE 101
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-1170
Country	:	US
Telephone Number	:	502-437-6818
Fax Number	:	850-243-0471

Provider Business Practice Location Address
First Line	:	319 GREEN ACRES RD
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-1170
Country	:	US
Telephone Number	:	850-243-7681
Fax Number	:	850-243-0471

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

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	07/15/2024

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Directions to “ COURTNEY MCGEE PA” Practice Location

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