Individual
DR. JAMES STUART MCCLELLAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5611
(912) 435-6633
Mailing address
1601 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5611
(912) 435-6633
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
067252
GA
208D00000X
General Practice Physician
0101056826
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101056826
STATE MEDICAL LICENSE
VA
Enumeration date
11/18/2005
Last updated
05/05/2016
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