Individual
DR. REGINALD JAY MCCLUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 LAIDLEY ST, SUITE 205, CHARLESTON, WV 25301-1619
(304) 344-2345
(304) 344-2347
Mailing address
331 LAIDLEY ST, SUITE 205, CHARLESTON, WV 25301-1619
(304) 344-2345
(304) 344-2347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14073
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001874582
BLUE CROSS BLUE SHIELD
WV
05
—
0051700000
—
WV
01
—
080018703
RAILROAD MEDICARE
WV
Enumeration date
10/28/2006
Last updated
02/11/2014
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