Provider Demographics
NPI:1043648934
Name:PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLC
Entity type:Organization
Organization Name:PSYCHIATRIC CONSULTANTS OF TENNESSEE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCGHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-323-3900
Mailing Address - Street 1:982 MEAGHER ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38108-3329
Mailing Address - Country:US
Mailing Address - Phone:901-323-3900
Mailing Address - Fax:
Practice Address - Street 1:982 MEAGHER ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38108-3329
Practice Address - Country:US
Practice Address - Phone:901-323-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PSYCHIATRIC CONSULTTS OF TENNESSEE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-31
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000309662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370142Medicare PIN