Provider Demographics
NPI:1750358552
Name:MCGHEE, MICHAEL H (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:MCGHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 N 2ND ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-2983
Mailing Address - Country:US
Mailing Address - Phone:931-221-9990
Mailing Address - Fax:931-221-9993
Practice Address - Street 1:601 N 2ND ST
Practice Address - Street 2:SUITE 4
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-2983
Practice Address - Country:US
Practice Address - Phone:931-221-9990
Practice Address - Fax:931-221-9993
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY457092084P0800X
TNMD309662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN33279771Medicaid
TN33279771Medicaid