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Individual

CASEY B MCGHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6882
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06027562
MS
05
110318002
AR
05
172494795
AR
05
3371161
TN
05
3645208
TN
01
4067711
BLUE CROSS
TN
01
620819926
BCBS
MS
01
620819926
CIGNA
TN
01
7122465
AETNA
TN
05
7187860
MS
Enumeration date
05/24/2005
Last updated
05/08/2020
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