Individual
MRS. TAMMY DENISE MCGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1860 CHADWICK DR, SUITE 205, JACKSON, MS 39204-3463
(601) 376-2857
(601) 376-2847
Mailing address
163 INEZ OWENS DR, JACKSON, MS 39212-3265
(601) 372-3665
(601) 372-0747
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15981
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122067
—
MS
05
—
1429601
—
LA
Enumeration date
06/23/2006
Last updated
10/09/2012
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