Individual
DR. GUY ELTON MCCLARY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E CHEVES ST, SUITE 310, FLORENCE, SC 29506-2650
(843) 679-7272
(843) 679-7215
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7042
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30969
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309696
—
SC
01
—
3774703
CIGNA
SC
01
—
9846723
AETNA
SC
01
—
AA64128552
MEDICARE PTAN
SC
01
—
P00995697
RAILROAD MEDICARE
SC
Enumeration date
06/18/2008
Last updated
02/12/2021
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