Individual
MAMIE ROBINSON MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
30978
AL
390200000X
Student in an Organized Health Care Education/Training Program
140989
NC
390200000X
Student in an Organized Health Care Education/Training Program
30978
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051117947
BCBS
AL
01
—
051117948
BCBS
AL
01
—
051117949
BCBS
AL
01
—
051117950
BCBS
AL
05
—
06400328
—
MS
05
—
129419
—
AL
05
—
129422
—
AL
05
—
129423
—
AL
05
—
129425
—
AL
Enumeration date
06/19/2007
Last updated
09/12/2017
Update your record
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