Individual
DR. JAN T MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 BAPTIST BLVD., SUITE 407, COLUMBUS, MS 39705-2004
(662) 241-4223
(662) 241-4460
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19458
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03730025
—
MS
Enumeration date
07/07/2005
Last updated
10/21/2016
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