Individual
DIONDRE JERREMIAH MCCLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 WINESAP RD, HOPE MILLS, NC 28348-8326
(910) 612-2599
Mailing address
3420 WINESAP RD, HOPE MILLS, NC 28348-8326
(910) 612-2599
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000035097080
NC
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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