Individual
MCLELLAN JANE CORUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 SPRING GARDEN ST, GREENSBORO, NC 27412-5015
(336) 334-5000
Mailing address
3844 BATTLEGROUND AVE APT 32, GREENSBORO, NC 27410-9433
(336) 609-3129
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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