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NPI Code Detail

MEDICARE: DR. JOHN C MCLELLAND III MD

MEDICARE: DR. JOHN C MCLELLAND III MD
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
1207R00000XInternal Medicine Physician9900939NC
2208M00000XHospitalist Physician9900939NC

General Provider Information

NPI Number : 1396739181
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN C MCLELLAND III MD
Provider Business Mailing Address
First Line : PO BOX 602373
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-2373
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 509 BILTMORE AVE
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-4601
Country : US
Telephone Number : 828-213-4411
Fax Number : 866-285-9740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 09/02/2016

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Directions to “ DR. JOHN C MCLELLAND III MD” Practice Location

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