Individual
MS. CHARLOTTE A MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 ASHRIDGE PL, RIDGELAND, MS 39157-4136
(601) 898-1472
Mailing address
404 ASHRIDGE PL, RIDGELAND, MS 39157-4136
(601) 898-1472
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R784906
MS
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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