Individual
STEPHANIE MC CLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-5944
(615) 327-5597
Mailing address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-5944
(615) 327-5597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40752
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
19612
TN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
40752
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
M5324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175408701
—
TX
05
—
175408702
—
TX
05
—
175408703
—
TX
05
—
200067400A
—
OK
05
—
81653280
—
NM
05
—
Q001193
—
TN
Enumeration date
07/05/2006
Last updated
12/05/2019
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