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Individual

DONNA BROCK MCGEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6193
(864) 560-1510
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2000-00272
NC
207Q00000X
Family Medicine Physician
Primary
20365
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080157958
RAILROAD MEDICARE B
01
1264Y
BCBS
NC
05
203657
SC
05
891264Y
NC
01
SCA4543365
MEDICARE PTAN
SC
Enumeration date
08/09/2005
Last updated
02/08/2021
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