Provider Demographics
NPI:1114161411
Name:MCKEE, MEGAN JEAN (MD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JEAN
Last Name:MCKEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 KLONDIKE RD SW
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-5169
Mailing Address - Country:US
Mailing Address - Phone:678-413-1818
Mailing Address - Fax:770-761-7260
Practice Address - Street 1:1498 KLONDIKE RD SW
Practice Address - Street 2:SUITE 106
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-5169
Practice Address - Country:US
Practice Address - Phone:678-413-1818
Practice Address - Fax:770-761-7260
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA658850207R00000X
NC2012-00897207R00000X
GA065850207RH0000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology