Individual
MR. CARLTON WAYNE MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
196 THOMAS JOHNSON DR, STE 215, FREDERICK, MD 21702-4397
(301) 668-9988
(301) 668-9977
Mailing address
196 THOMAS JOHNSON DR, STE 215, FREDERICK, MD 21702-4397
(301) 668-9988
(301) 668-9977
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C002852
MD
Other
Enumeration date
03/30/2007
Last updated
04/27/2010
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