Provider Demographics
NPI:1710657861
Name:MCBEE, MARY KATE (APRN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:KATE
Last Name:MCBEE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:KATE
Other - Last Name:GOODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1492 HARRELL GROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31535-3800
Mailing Address - Country:US
Mailing Address - Phone:478-397-1487
Mailing Address - Fax:
Practice Address - Street 1:903 WARD ST W
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-3517
Practice Address - Country:US
Practice Address - Phone:912-260-1191
Practice Address - Fax:912-260-1193
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN236683207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine