MEDICARE: JAMES M. MCGEE, D.M.D., P.C.

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	955225	OTHER	GA	UCCI NUMBER

General Provider Information

NPI Number	:	1992906994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES M. MCGEE, D.M.D., P.C.

Provider Business Mailing 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

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	:	PRESIDENT
Name	:	DR. JAMES M. MCGEE
Credential	:	D.M.D.
Telephone Number	:	770-879-4510

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	11/14/2019

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