Individual
RANDALL DOUGLAS MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL 35801
(256) 536-3832
(256) 536-8829
Mailing address
303 WILLIAMS AVENUE, SUITE 1021, HUNTSVILLE, AL 35801
(256) 536-3832
(256) 536-8829
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
00024549
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00937065
—
AL
01
—
51516878
BC
AL
Enumeration date
08/03/2006
Last updated
07/08/2007
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