Individual
MATTHEW MCCLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
250 EVANGELINE DR, MANDEVILLE, LA 70471-1882
(806) 535-3781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.207948
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2011
Last updated
10/08/2018
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