Individual
IMANII MCGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1531 ELAINE RD APT D, COLUMBUS, OH 43227-2719
(330) 518-0073
Mailing address
1531 ELAINE RD APT D, COLUMBUS, OH 43227-2719
(330) 518-0073
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095798
—
OH
Enumeration date
08/04/2014
Last updated
08/04/2014
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