Provider Demographics
NPI:1942659305
Name:MCGHEE, STEPHANIE (RDH)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4835 TURNBERRY LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-2080
Mailing Address - Country:US
Mailing Address - Phone:334-703-3047
Mailing Address - Fax:
Practice Address - Street 1:4835 TURNBERRY LANE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909
Practice Address - Country:US
Practice Address - Phone:334-703-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDH16998124Q00000X
GADH011610124Q00000X
HIDH1589124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist