Provider Demographics
NPI:1932986189
Name:MCGEE, ERIC A II
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:A
Last Name:MCGEE
Suffix:II
Gender:M
Credentials:
Other - Prefix:PROF
Other - First Name:ERIC
Other - Middle Name:A
Other - Last Name:MCGEE
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6713 LIVE OAK LN
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1666
Mailing Address - Country:US
Mailing Address - Phone:404-573-8804
Mailing Address - Fax:
Practice Address - Street 1:3294 SR-5N DOUGLASVILLE, GA 30135
Practice Address - Street 2:3294 SR-5N DOUGLASVILLE, GA 30135
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135
Practice Address - Country:US
Practice Address - Phone:470-870-2962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No305S00000XManaged Care OrganizationsPoint of Service
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath