Individual
ROBERT WALTER MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 COOK ST, SUITE F, DYERSBURG, TN 38024-1899
(731) 882-1871
Mailing address
1325 MELISSA LN, DYERSBURG, TN 38024-2878
(731) 571-1065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD011499
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140441
UNITED HEALTHCARE
—
01
—
020085100
PALMETTO GBA
—
01
—
116247
BETTER HEALTH PLAN
—
01
—
3038973
BLUE CROSS
TN
05
—
3803066
—
TN
01
—
4458883
CIGNA
—
01
—
5347162
AETNA
—
01
—
7153
TLC(MEMPHIS MANAGED CARE)
—
Enumeration date
09/09/2005
Last updated
04/29/2011
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