# J. C. MCCLEOD, M.D., PSYCHIATRIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245521384
- **Authorized official:** JERLYN C. MCCLEOD M.D. (OWNER)
- **Authorized official phone:** (334) 702-7222

## Contact information

- **Practice address:** 101 MEDICAL DR, DOTHAN, AL 36303-6903
- **Practice address phone:** (334) 702-7222
- **Practice address fax:** (334) 702-1944
- **Mailing address:** 101 MEDICAL DR, DOTHAN, AL 36303-6903
- **Mailing address phone:** (334) 702-7222
- **Mailing address fax:** (334) 702-1944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 25317 | AL | Yes |

## Other

- **Enumeration date:** 04/24/2011
- **Last updated:** 04/24/2011