Organization
GWENDELLYN L MCLEAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENDELLYN LEWELLYN MCLEAN MD (PRESIDENT)
(205) 879-9290
Entity
Organization
Contact information
Practice address
2022 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 409 ACC, BIRMINGHAM, AL 35209
(205) 879-9290
(205) 879-5456
Mailing address
2022 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 409 ACC, BIRMINGHAM, AL 35209
(205) 879-9290
(205) 879-5456
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
00004159
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0310031
UNITED
—
Enumeration date
01/09/2007
Last updated
03/07/2008
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