Individual
WALTER COPLEY MCLEAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 255-8978
(828) 251-9150
Mailing address
8 MEDICAL PARK DR, ASHEVILLE, NC 28803-2493
(828) 258-1586
(828) 258-6161
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25729
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
25729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57503
BCBS OF NC
NC
05
—
8957503
—
NC
01
—
P00200709
PALMETTO GBA
NC
Enumeration date
12/01/2005
Last updated
04/06/2017
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