Provider Demographics
NPI:1235307851
Name:MCGEE, ETHELIND WAITHE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ETHELIND
Middle Name:WAITHE
Last Name:MCGEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 MOUNTAIN VIEW DR YES
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-7104
Mailing Address - Country:US
Mailing Address - Phone:678-923-0468
Mailing Address - Fax:
Practice Address - Street 1:475 MOUNTAIN VIEW DR YES
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-3001
Practice Address - Country:US
Practice Address - Phone:678-923-0468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-16
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN078939163WE0003X, 163WC1600X, 163WH1000X, 163WM0705X, 163WP0809X, 163WS0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WS0200XNursing Service ProvidersRegistered NurseSchool