Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN615985 | PA |
NPI | 1023555737 |
---|---|
Provider Name | James Mcgee |
First Address | Voorhees, NJ 08043-2902 |
Second Address | Voorhees, NJ 08043-2902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2017 |
Last Update Date | 20/01/2017 |