1730442427 NPI number — THOMAS P MCGEE JR MD PA

Table of content: (NPI 1730442427)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730442427 NPI number — THOMAS P MCGEE JR MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS P MCGEE JR MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730442427
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3488
Provider Second Line Business Mailing Address:
DEPT 05-013
Provider Business Mailing Address City Name:
TUPELO
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38803-3488
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-524-3376
Provider Business Mailing Address Fax Number:
828-369-8184

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
145 MEDICAL PARK LN STE L
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28906-6663
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-349-3376
Provider Business Practice Location Address Fax Number:
828-369-8184
Provider Enumeration Date:
06/19/2012

Additional Information

Authorized Official

Authorized Official Last Name:
MCGEE
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
PAIGE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
828-524-3376

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  BM7809873 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5912732 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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