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Individual

DR. THOMAS W. MCKEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4700 WATERS AVE, SAVANNAH, GA 31404
(912) 350-8180
(912) 350-7221
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8180
(912) 350-7221

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022823
GA
2080P0203X
Pediatric Critical Care Medicine Physician
022823
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000223308B
GA
01
10065026
AMERIGROUP
GA
01
349803
WELLCARE
GA
01
37BBFTQ
OLD PTAN, TERM'D DUE TO INACTIVITY
GA
05
G22823
SC
Enumeration date
12/20/2006
Last updated
08/08/2018
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