Individual
DWAYNE ERIC MCCLERKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7915 LAKE MANASSAS DR., SUITE # 302, GAINESVILLE, VA 20155-3260
(571) 248-0653
(571) 248-0653
Mailing address
3998 FAIR RIDGE DR, SUITE # 300, FAIRFAX, VA 22033-2921
(703) 295-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01012425888
VA
207L00000X
Anesthesiology Physician
TL25686
SC
Other
Enumeration date
05/18/2007
Last updated
03/31/2015
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