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BENJAMIN WAYNE MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
979 E 3RD ST STE C830, CHATTANOOGA, TN 37403-3325
(423) 778-9001
(423) 778-4692
Mailing address
975 EAST THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-9001
(423) 778-4692

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20790
TN

Other

Enumeration date
12/15/2017
Last updated
12/15/2017
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