Organization
MCLAULIN PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRYCE MCLAULIN M. D. (OWNER)
(215) 284-8434
Entity
Organization
Contact information
Practice address
283 MILTON LN, WAVERLY, GA 31565-1931
(215) 284-8434
Mailing address
283 MILTON LN, WAVERLY, GA 31565-1931
(215) 284-8434
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
022248
GA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
022248
GA
Other
Enumeration date
01/21/2014
Last updated
01/24/2014
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