Individual
THOMAS WILLIAMS MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
9800967
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088J
BCBS
NC
01
—
24401
PARTNERS
—
05
—
3000194000
—
WV
01
—
5122690
AETNA
—
05
—
6733557
—
VA
05
—
791088J
—
NC
01
—
80505
MEDCOST
NC
05
—
Q0096F
—
SC
Enumeration date
12/02/2005
Last updated
05/14/2008
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