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Individual

DR. JOHN ANGUS MACLENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
370 SELMA HWY, PRATTVILLE, AL 36067-1903
(334) 365-7823
(334) 358-3882
Mailing address
PO BOX 681903, PRATTVILLE, AL 36068
(334) 365-7823

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8193
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3876
AL
Enumeration date
12/22/2006
Last updated
07/18/2011
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