Healthcare Provider Details

I. General information

NPI: 1578516282
Provider Name (Legal Business Name): DARIN KEITH MCLAIN P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E END DR
SAVANNAH TN
38372-1712
US

IV. Provider business mailing address

PO BOX 655
SAVANNAH TN
38372-0655
US

V. Phone/Fax

Practice location:
  • Phone: 731-925-2300
  • Fax:
Mailing address:
  • Phone: 731-925-2300
  • Fax: 731-925-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA1288
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: