Provider Demographics
NPI:1558185751
Name:MCGEE MEDICAL LLC
Entity type:Organization
Organization Name:MCGEE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FITZGERALD
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:769-206-1458
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:MS
Mailing Address - Zip Code:39154-0664
Mailing Address - Country:US
Mailing Address - Phone:601-915-2095
Mailing Address - Fax:601-851-3020
Practice Address - Street 1:119 S OAK STE 2
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:MS
Practice Address - Zip Code:39154-4205
Practice Address - Country:US
Practice Address - Phone:601-915-2095
Practice Address - Fax:601-851-3020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty