Provider Demographics
NPI:1285620559
Name:GEE, JEFFRY TRAVIS (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFRY
Middle Name:TRAVIS
Last Name:GEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2352
Mailing Address - Country:US
Mailing Address - Phone:304-431-5153
Mailing Address - Fax:304-487-7835
Practice Address - Street 1:1333 SOUTHVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-4317
Practice Address - Country:US
Practice Address - Phone:304-327-9205
Practice Address - Fax:304-327-9210
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012250822084P0800X
WV239032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP01414652OtherRAILROAD MEDICARE
216749OtherBCBS
VA004945522Medicaid
VA260609000OtherMAGELLAN
WV3810017518Medicaid
VA1285620559Medicaid
216749OtherBCBS
VA260046653Medicare PIN
WV3810017518Medicaid
VA004945522Medicaid
WV4288671Medicare PIN