Provider Demographics
NPI:1467427815
Name:MAGEE, JERALD CHRISTOPHER (PA-C, MPAS)
Entity Type:Individual
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First Name:JERALD
Middle Name:CHRISTOPHER
Last Name:MAGEE
Suffix:
Gender:M
Credentials:PA-C, MPAS
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Mailing Address - Street 1:2740 PINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3041
Mailing Address - Country:US
Mailing Address - Phone:301-638-0626
Mailing Address - Fax:
Practice Address - Street 1:7503 SURRATTS RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3358
Practice Address - Country:US
Practice Address - Phone:301-877-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2007-11-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant