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Individual
WALTER COPLEY MCLEAN JR.
Active
Individual
WALTER COPLEY MCLEAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25729
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
25729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57503
BCBS OF NC
NC
05
—
8957503
—
NC
01
—
P00200709
PALMETTO GBA
NC
Enumeration date
12/01/2005
Last updated
04/06/2017
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