Individual
JACKSON WADE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3186
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3186
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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