Individual
SCOTT DAVID MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2115 NEUSE BLVD, NEW BERN, NC 28560-4309
(252) 633-4461
(252) 633-6016
Mailing address
PO BOX 890283, CHARLOTTE, NC 28289-0283
(252) 672-7745
(252) 635-6951
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
200000539
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14379
BCBS PROVIDER NUMBER
NC
01
—
P00375320
RR MEDICARE
NC
Enumeration date
10/04/2006
Last updated
03/11/2010
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