Provider Demographics
NPI:1356347447
Name:MCGEE, JAMES MYRICK I (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MYRICK
Last Name:MCGEE
Suffix:I
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 BRAWLEY CIR NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-1710
Mailing Address - Country:US
Mailing Address - Phone:404-852-9574
Mailing Address - Fax:
Practice Address - Street 1:2120 ROCKBRIDGE RD
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-3514
Practice Address - Country:US
Practice Address - Phone:770-879-4510
Practice Address - Fax:770-879-4512
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0117401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA613820087CMedicaid