Provider Demographics
NPI:1669427365
Name:MCGEE, PAUL CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CHARLES
Last Name:MCGEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 PUTNAM STREET
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152
Mailing Address - Country:US
Mailing Address - Phone:617-846-4553
Mailing Address - Fax:617-846-2269
Practice Address - Street 1:57 PUTNAM STREET
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152
Practice Address - Country:US
Practice Address - Phone:617-846-4553
Practice Address - Fax:617-846-2269
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA30989OtherHARVARD PILGRIM
MAY36943OtherBLUE CROSS
Y45749Medicare ID - Type Unspecified