Individual
GREGORY LAMONT MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
515 RANSOM RD, WINSTON SALEM, NC 27106-3617
(336) 479-5221
Mailing address
515 RANSOM RD, WINSTON SALEM, NC 27106-3617
(336) 479-5221
Taxonomy
Speciality
Code
Description
License number
State
2251H1300X
Human Factors Physical Therapist
Primary
800740192
NC
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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