Individual
DR. JACK R MAGEE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1425 SIMPSON HIGHWAY 49, MAGEE, MS 39111
(601) 849-4949
Mailing address
PO BOX 250, MAGEE, MS 39111-0250
(601) 849-4949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2832-94
MS
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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