Provider Demographics
NPI:1194781245
Name:MCGEE, ANGELA TERASE (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:TERASE
Last Name:MCGEE
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 1:169 HALL ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1523
Mailing Address - Country:US
Mailing Address - Phone:864-542-9966
Mailing Address - Fax:864-542-9977
Practice Address - Street 1:169 HALL ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1523
Practice Address - Country:US
Practice Address - Phone:864-542-9966
Practice Address - Fax:864-542-9977
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23635207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC236355Medicaid
SCH98408Medicare UPIN
SCAA02190281Medicare ID - Type UnspecifiedMEDICARE ID NUMBER