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General NPI Number Information
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NPI Number | 1760556997
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Entity Type | Individual
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Provider Name | JOHN K MCLARNEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 1370 W D ST
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City | N WILKESBORO
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State | NC
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Zip | 28659-3506
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Country | US
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Telephone | 336-927-9209
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 456 PO BOX 456
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City | NORTH WILKESBORO
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State | NC
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Zip | 28659-0456
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Country | US
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Telephone | 336-903-7161
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Fax | 336-667-5918
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9700329
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License Number State | NC
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