Provider Demographics
NPI:1043433154
Name:MCAFEE, DAVID M (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:MCAFEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 S JEFFERSON AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-4035
Mailing Address - Country:US
Mailing Address - Phone:931-526-7246
Mailing Address - Fax:931-526-7369
Practice Address - Street 1:620 S JEFFERSON AVE
Practice Address - Street 2:STE 202
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4035
Practice Address - Country:US
Practice Address - Phone:931-526-7246
Practice Address - Fax:931-526-7369
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45915208VP0000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I057456OtherMEDICARE PTAN
TN103I057456OtherMEDICARE PTAN