Organization
THE ANAPLASTOLOGY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY DONALD MCCLENNEN CCA, CFM (CHIEF ANAPLASTOLOGIST)
(919) 383-1205
Entity
Organization
Contact information
Practice address
2613 CARVER ST, DURHAM, NC 27705-2720
(919) 383-1205
(919) 383-2838
Mailing address
2613 CARVER ST, DURHAM, NC 27705-2720
(919) 383-1205
(919) 383-2838
Taxonomy
Speciality
Code
Description
License number
State
229N00000X
Anaplastologist
Primary
—
—
Other
Enumeration date
01/05/2009
Last updated
07/20/2023
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