MEDICARE: MCLAIN MEDICAL ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	9639	AL
2	174400000X	Specialist	4584	AL

General Provider Information

NPI Number	:	1164479184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCLAIN MEDICAL ASSOCIATES PC

Provider Business Mailing Address
First Line	:	2229 CAHABA VALLEY DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-2602
Country	:	US
Telephone Number	:	205-991-8996
Fax Number	:	205-997-8997

Provider Business Practice Location Address
First Line	:	2229 CAHABA VALLEY DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-2602
Country	:	US
Telephone Number	:	205-991-8996
Fax Number	:	205-997-8997

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. DAVID A MCLAIN
Credential	:	M.D.
Telephone Number	:	205-991-8996

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	11/10/2022

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