Provider Demographics
NPI:1144005307
Name:MCGEE PLASTIC SURGERY, PLLC
Entity type:Organization
Organization Name:MCGEE PLASTIC SURGERY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:337-303-7299
Mailing Address - Street 1:605 SILVERSTONE RD STE 106A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6899
Mailing Address - Country:US
Mailing Address - Phone:337-534-4058
Mailing Address - Fax:
Practice Address - Street 1:605 SILVERSTONE RD STE 106A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6899
Practice Address - Country:US
Practice Address - Phone:337-205-2262
Practice Address - Fax:337-270-7039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty