Individual
JACKSON PAUL MCCLEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4611
(252) 744-0060
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4611
(252) 744-0060
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RTL24-0617
NC
Other
Enumeration date
04/26/2024
Last updated
06/22/2024
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