Individual
MICAH THOMAS MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
600 IVY MEADOW LN, 3F, DURHAM, NC 27707-6192
(919) 684-8111
Mailing address
600 IVY MEADOW LN, 3F, DURHAM, NC 27707-6192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010-00435
NC
207RI0200X
Infectious Disease Physician
Primary
2010-00435
NC
Other
Enumeration date
05/08/2008
Last updated
05/25/2010
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