Individual
DR. GREG A MCCLURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1631
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3033647
BLUE CROSS BLUE SHIELD
TN
05
—
3940328
—
TN
01
—
621714788
AETNA
TN
Enumeration date
02/13/2007
Last updated
08/10/2011
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