Individual
MISS JAMIE M MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 GREYSTONE POWER BLVD, DALLAS, GA 30157-8297
(470) 267-1540
Mailing address
3804 NORTH AVE, POWDER SPRINGS, GA 30127-2219
(770) 597-6899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL1786
FL
363LF0000X
Family Nurse Practitioner
Primary
RN240864
GA
Other
Enumeration date
05/21/2007
Last updated
03/01/2022
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