Individual
MATTHEW B MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 W 5TH ST SW, SUITE 150, ROME, GA 30165-2817
(706) 232-1545
(706) 232-3819
Mailing address
PO BOX 369, ROME, GA 30162-0369
(706) 291-2077
(706) 235-4177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
053274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166986931A
—
GA
01
—
923349
BCBS OF GEORGIA
GA
Enumeration date
06/12/2006
Last updated
10/28/2016
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