Organization
MAC PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW W MCCLANAHAN M.D. (OWNER)
(806) 535-3779
Entity
Organization
Contact information
Practice address
1900 MAIN ST, FRANKLINTON, LA 70438-3688
(806) 535-3779
Mailing address
250 EVANGELINE DR, MANDEVILLE, LA 70471-1882
(806) 535-3779
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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