Healthcare Provider Details

I. General information

NPI: 1265488985
Provider Name (Legal Business Name): PATRICK WILLIAM MCLEAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DOCTORS DRIVE
GREENVILLE SC
29605
US

IV. Provider business mailing address

1 DOCTORS DRIVE
GREENVILLE SC
29605
US

V. Phone/Fax

Practice location:
  • Phone: 864-572-7001
  • Fax: 864-412-0436
Mailing address:
  • Phone: 864-572-7001
  • Fax: 864-412-0436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number15932
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: