Provider Demographics
NPI:1467664623
Name:MCGEE, CAROLINE CAMPBELL (MD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:CAMPBELL
Last Name:MCGEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2139 CREEKWALK DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-1798
Mailing Address - Country:US
Mailing Address - Phone:615-216-5638
Mailing Address - Fax:615-261-8659
Practice Address - Street 1:586 FORTRESS BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4128
Practice Address - Country:US
Practice Address - Phone:615-424-9676
Practice Address - Fax:615-893-4021
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0159762083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA98238Medicare UPIN