Individual
DR. JUAN NICOLAS MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1370 WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 922-5458
(770) 922-0435
Mailing address
3532 LANTERN VIEW LN, SCOTTDALE, GA 30079-6806
(404) 274-6468
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
059289
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059289
STATE OF GEORGIA LICENSE
GA
Enumeration date
05/21/2007
Last updated
07/08/2007
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