Individual
DR. STEPHEN HARMON CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1029 W MAIN ST, SUITE M, LEBANON, TN 37087-3351
(615) 453-9492
(615) 453-9498
Mailing address
1029 W MAIN ST, SUITE M, LEBANON, TN 37087-3351
(615) 453-9492
(615) 453-9498
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD23656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069431
—
TN
Enumeration date
10/17/2006
Last updated
04/09/2009
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