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MATTHEW DOUGLAS MCLAREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
180 WINGO WAY STE 105, MT PLEASANT, SC 29464-1810
(855) 527-7246
(866) 229-5063
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(855) 527-7246
(866) 229-5063

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29650
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
11260
MT
207LP2900X
Pain Medicine (Anesthesiology) Physician
200400236
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
29650
SC
208VP0014X
Interventional Pain Medicine Physician
200400236
NC
208VP0014X
Interventional Pain Medicine Physician
29650
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011004307
PTAN
MT
05
1598760332
NC
05
296502
SC
05
89136YN
NC
Enumeration date
06/17/2005
Last updated
02/07/2025
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