Individual
JOHN R MCLAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 N. COBB ST., MILLEDGEVILLE, GA 31061
(478) 454-3795
(478) 454-3969
Mailing address
1011 PIONEER DR, WHITE PLAINS, GA 30678-3005
(706) 991-9892
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
021749
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00075314L
—
GA
Enumeration date
10/04/2006
Last updated
11/01/2010
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