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Individual

MARY GARRETSON MCCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
24530 FALCON PLACE BLVD STE 100, ABINGDON, VA 24211-7665
(276) 619-0075
(276) 619-0077
Mailing address
603 CAMPUS DR, SUITE 100, ABINGDON, VA 24210-9700
(276) 739-8010
(276) 628-1410

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166788
VA
363LF0000X
Family Nurse Practitioner
APN0000007851
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548247208
VA
01
P01227705
RR MEDICARE
VA
05
Q012374
TN
Enumeration date
12/23/2005
Last updated
06/06/2018
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