Individual
TAMMY K. MCLEAN
Active
Individual
TAMMY K. MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
053496
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I071208
MEDICARE PTAN
GA
05
—
695051329A
—
GA
05
—
695051329C
—
GA
01
—
P01338529
RAILROAD MEDICARE
GA
Enumeration date
07/27/2006
Last updated
12/06/2017
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