Provider Demographics
NPI:1528393725
Name:MAGEE, FREDRICK O'NEAL SR (CSTFA)
Entity Type:Individual
Prefix:MR
First Name:FREDRICK
Middle Name:O'NEAL
Last Name:MAGEE
Suffix:SR
Gender:M
Credentials:CSTFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 BICKHAM ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-2230
Mailing Address - Country:US
Mailing Address - Phone:985-839-3845
Mailing Address - Fax:
Practice Address - Street 1:1626 BICKHAM ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-2230
Practice Address - Country:US
Practice Address - Phone:985-839-3845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant