Individual
MR. SAMUEL W MCGAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 DOLLY PARTON PARKWAY, SUITE # 2, SEVIERVILLE, TN 37862
(865) 428-6088
(865) 774-9745
Mailing address
1235 DOLLY PARTON PARKWAY, SUITE #2, SEVIERVILLE, TN 37862
(865) 428-6088
(865) 774-9745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD010012
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009938
BCBS
—
05
—
3169423
—
TN
Enumeration date
11/14/2006
Last updated
07/08/2007
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