Individual
CAMILLE PATRICE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2347 NEW HAVEN PL, CONYERS, GA 30094-3358
(718) 614-8573
Mailing address
2347 NEW HAVEN PL, CONYERS, GA 30094-3358
(718) 614-8573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015-00102
NC
Other
Enumeration date
04/14/2011
Last updated
04/09/2015
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