Provider Demographics
NPI:1619004744
Name:MCGEE, DARIUS R (FNP)
Entity type:Individual
Prefix:
First Name:DARIUS
Middle Name:R
Last Name:MCGEE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CIRCLE J DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440-1980
Mailing Address - Country:US
Mailing Address - Phone:601-425-0092
Mailing Address - Fax:601-425-0473
Practice Address - Street 1:30 CIRCLE J DR
Practice Address - Street 2:SUITE 1
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-1980
Practice Address - Country:US
Practice Address - Phone:601-425-0092
Practice Address - Fax:601-425-0473
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR856125363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily