Individual
VIRGINIA L MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
247 COLUMBIA AVE, LEXINGTON, SC 29072-2611
(803) 359-5533
(803) 359-0127
Mailing address
247 COLUMBIA AVE, LEXINGTON, SC 29072
(803) 359-5533
(803) 359-0127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19028
SC
207R00000X
Internal Medicine Physician
19028
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190288
—
SC
Enumeration date
11/06/2006
Last updated
02/04/2013
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