Individual
CORY S MCCLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
231 W ESPLANADE AVE, KENNER, LA 70065-2459
(337) 654-3586
Mailing address
PO BOX 425, MILTON, LA 70558-0425
(337) 654-2586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200528
LA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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