Individual
GREGORY MATTHEW MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1028 JC REDD DRIVE, WESSON, MS 39191-0649
(601) 643-8481
(601) 643-8525
Mailing address
PO BOX 649, WESSON, MS 39191-0649
(601) 643-8481
(601) 643-8525
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0299
MS
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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