Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2012-00897 | NC |
N | 111NI0900X | Internist | 2012-00897 | NC |
N | 207R00000X | Internist | 658850 | GA |
N | 111NI0900X | Internist | 658850 | GA |
N | 207RH0000X | Hematologist | 065850 | GA |
Y | 207RH0003X | Hematology & Oncology | 065850 | GA |
NPI | 1114161411 |
---|---|
Provider Name | Megan Jean Mckee |
First Address | Conyers, GA 30094-5169 |
Second Address | Conyers, GA 30094-5169 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2009 |
Last Update Date | 27/08/2020 |