Individual
DR. CHARLES KENNETH MCCLELLAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
718 THOMPSON LN, SUITE 119, NASHVILLE, TN 37204-3612
(615) 292-2797
(615) 467-0963
Mailing address
718 THOMPSON LN, SUITE 119, NASHVILLE, TN 37204-3612
(615) 292-2797
(615) 467-0963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000001477
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4118747
BCBS
TN
Enumeration date
04/06/2006
Last updated
11/16/2007
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