Individual
CLAYTON MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CASSELL DR, KINGSPORT, TN 37660-3747
(423) 245-9600
Mailing address
2601 N JOHN B DENNIS HWY APT 1209, KINGSPORT, TN 37660-4792
(202) 997-7039
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101261072
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
11/21/2016
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