1942401690 NPI number — L.S. MCGEE,JR., M.D.,P.A.

Table of content: (NPI 1942401690)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942401690 NPI number — L.S. MCGEE,JR., M.D.,P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
L.S. MCGEE,JR., M.D.,P.A.
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:
6
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:
1942401690
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 W MIDTOWN PARK
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36606-4139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-432-2701
Provider Business Mailing Address Fax Number:
251-432-0469

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 W MIDTOWN PARK
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36606-4139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-432-2701
Provider Business Practice Location Address Fax Number:
251-432-0469
Provider Enumeration Date:
05/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCGEE
Authorized Official First Name:
LAWRENCE
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
251-432-2701

Provider Taxonomy Codes

  • Taxonomy code: 2086S0129X , with the licence number:  00001342 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1144254574 . This is a "INDIVIDUAL NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 510 04221 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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