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General NPI Number Information
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NPI Number | 1023544871
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Entity Type | Individual
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Provider Name | KATHERINE S MCCLELLAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 4700 BATTLEFIELD PKWY STE 200
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City | RINGGOLD
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State | GA
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Zip | 30736-5168
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Country | US
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Telephone | 706-861-4990
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Fax | 706-861-9405
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Provider Business Mailing Address
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Address Line | 1949 GUNBARREL RD STE 206
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City | CHATTANOOGA
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State | TN
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Zip | 37421-7133
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Country | US
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Telephone | 423-495-4345
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Fax | 423-495-4934
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 61985
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 38347
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 86815
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License Number State | GA
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