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Individual

DR. CLYDE MCLANE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-4377
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28485
AL
2084P0800X
Psychiatry Physician
4301070239
MI

Other

Enumeration date
05/16/2007
Last updated
02/06/2025
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