Wallace Mcclure M.D.

NPI 1407266653 - General Practice - 208D00000X

NPI Details
NPI 1407266653
Gender Male
Enumeration Date 04/28/2014
Last Updated 04/28/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
450 POWERS BLVD.
WAVERLY TN, 37185, US
Phone (931) 296-2054
Fax
Business Location
450 POWERS BLVD.
WAVERLY TN, 37185, US
Phone (931) 296-2054
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Tennessee
License Number MD4230
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According to our database, Wallace Mcclure M.D. NPI is 1407266653, taxonomy code is 208D00000X and license number is MD4230, license state is located at Tennessee. Wallace Mcclure M.D. physically located at 450 Powers Blvd., Waverly TN, 37185. NPI Number Wallace Mcclure M.D. has the Individual type.

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1407266653 NPI number is provided on an as is basis without warranty of any kind. 1407266653 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Mcclure M.D. are for informational purposes only.