Provider Demographics
NPI:1730442427
Name:THOMAS P MCGEE JR MD PA
Entity type:Organization
Organization Name:THOMAS P MCGEE JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:828-524-3376
Mailing Address - Street 1:PO BOX 3488
Mailing Address - Street 2:DEPT 05-013
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38803-3488
Mailing Address - Country:US
Mailing Address - Phone:828-524-3376
Mailing Address - Fax:828-369-8184
Practice Address - Street 1:145 MEDICAL PARK LN STE L
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6663
Practice Address - Country:US
Practice Address - Phone:828-349-3376
Practice Address - Fax:828-369-8184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBM7809873207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912732Medicaid
NC5912732Medicaid