Individual
DR. NICK JOSEPH MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE A200, GREENVILLE, SC 29615-3580
(864) 454-5540
(864) 241-9276
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10329
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103293
—
SC
05
—
GP0198
—
SC
Enumeration date
05/04/2006
Last updated
07/01/2024
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