Individual
MICAH MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
416 GEESLIN RD, GRENADA, MS 38901-8647
(601) 513-1231
Mailing address
416 GEESLIN RD, GRENADA, MS 38901-8647
(601) 513-1231
(601) 513-1231
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
AT0894
MS
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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