Provider Demographics
NPI:1871329573
Name:MCGEE, TAYJUNA Y
Entity type:Individual
Prefix:
First Name:TAYJUNA
Middle Name:Y
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 S F ST
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:OK
Mailing Address - Zip Code:74743-6026
Mailing Address - Country:US
Mailing Address - Phone:580-326-3382
Mailing Address - Fax:
Practice Address - Street 1:410 S F ST
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:OK
Practice Address - Zip Code:74743-6026
Practice Address - Country:US
Practice Address - Phone:580-326-3382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator