Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT 873 | TN |
N | 225100000X | Physical Therapist | PT2919 | GA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT 873 | TN |
Y | 2251P0200X | Physical Therapist - Pediatrics | PT 2919 | GA |
N | 2251P0200X | Physical Therapist - Pediatrics | PT 873 | TN |
NPI | 1194969964 |
---|---|
Provider Name | Laurie S Mcgee |
First Address | Dalton, GA 30720 |
Second Address | Dalton, GA 30720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2009 |
Last Update Date | 13/03/2019 |