Individual
DR. MARK E. MCCLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 POPLAR RD STE 302, NEWNAN, GA 30265-2589
(770) 683-2155
(770) 683-2154
Mailing address
795 POPLAR RD STE 302, NEWNAN, GA 30265-2589
(770) 683-2155
(770) 683-2154
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
068453
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127397A
—
GA
05
—
003127397B
—
GA
05
—
264617000
—
FL
01
—
2831191
AETNA
FL
01
—
3000787
MEDICARE PTAN
TN
05
—
3000787
—
TN
01
—
4165410
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/08/2005
Last updated
08/11/2025
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