Provider Demographics
NPI:1003965104
Name:MCGEE, MICHAEL RICHARD (EDD, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:RICHARD
Last Name:MCGEE
Suffix:
Gender:M
Credentials:EDD, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4886 NORTHCREST ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-9452
Mailing Address - Country:US
Mailing Address - Phone:828-612-9843
Mailing Address - Fax:
Practice Address - Street 1:625 7TH AVE NE
Practice Address - Street 2:MCCRORIE SUITE 100, OFFICE D
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3984
Practice Address - Country:US
Practice Address - Phone:828-328-7127
Practice Address - Fax:828-267-3445
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01912255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer