MEDICARE: DR. DEBORAH ANN MCCLAIN M.D.

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	207L00000X	Anesthesiology Physician	020456	GA

General Provider Information

NPI Number	:	1356390504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH ANN MCCLAIN M.D.

Provider Business Mailing Address
First Line	:	7520 WYNFIELD DR
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-5672
Country	:	US
Telephone Number	:	251-605-6551
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 MOUNT VERNON HWY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4295
Country	:	US
Telephone Number	:	770-804-1684
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	10/12/2023

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