Provider Demographics
NPI:1891195434
Name:MCGEE, GARETH MICHAEL (DO)
Entity Type:Individual
Prefix:
First Name:GARETH
Middle Name:MICHAEL
Last Name:MCGEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:1330 BOILING SPRINGS RD STE 2300
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-4212
Practice Address - Country:US
Practice Address - Phone:864-585-6491
Practice Address - Fax:864-585-1368
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36702208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSCI4637628OtherMEDICARE PIN
SC367026Medicaid
SCSCI4633365OtherMEDICARE PIN