Individual
DR. ANDREW JAMES MACLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 MEDICAL PARK DR, SUITE 104, LENOIR CITY, TN 37772-5782
(865) 986-7737
(865) 986-7807
Mailing address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4545
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD38368
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3891250
—
TN
01
—
4083589
BLUE CROSS BLUE SHIELD
TN
01
—
P00199559
RAILROAD MEDICARE
TN
01
—
TN01J7
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/15/2006
Last updated
05/17/2011
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