Individual
MRS. PHYLLIS ANN MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 HEATHERLY CT, EASTOVER, NC 28312-7619
(910) 702-8028
Mailing address
1506 HEATHERLY CT, EASTOVER, NC 28312-7619
(910) 703-8028
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
124680
NC
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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