Individual
TAYLOR MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 ERWIN ROAD, DURHAM, NC 27710-6237
(919) 684-7218
Mailing address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2020-00542
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/31/2016
Last updated
07/03/2021
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