Organization
DIABETES AND THYROID ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN MCCLANAHAN MD (PRESIDENT)
(540) 891-8499
Entity
Organization
Contact information
Practice address
10711 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 891-8499
(540) 891-8662
Mailing address
10711 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2674
(540) 891-8499
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077372
ANTHEM BLUE CROSS IDENTIF
VA
Enumeration date
06/26/2006
Last updated
10/18/2022
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