Carol M Mcclendon in Braintree - Pediatrics

Carol M Mcclendon - NPI 1144296740

Carol M Mcclendon is a Pediatrics in Braintree, Massachusetts. Carol M Mcclendon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Carol M Mcclendon is 1144296740. The last update date is 2021-03-07.

Carol M Mcclendon's current location address is 111 Grossman Dr, Braintree, Massachusetts. You can contact this provider via phone number 7818491000. The mailing address for Carol M Mcclendon is 111 Grossman Dr, Braintree, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol M Mcclendon
Address 111 Grossman Dr, Braintree, Massachusetts
Phone Number 7818491000
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1144296740
Provider Enumeration Date 2006-02-24
Last Updated Date 2021-03-07

Provider Mailing Address Detail

Address 111 Grossman Dr
City Braintree
State Massachusetts (MA)
Post Code 21844997
Phone Number 7818491000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 142618
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PN737 MA HARVARD PILGRIM
376451 MA --
NP9986 MA BLUE CROSS

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FAQs about Carol M Mcclendon

What is the unique 10-digit identifier code issued to Carol M Mcclendon by the Centers for Medicare & Medicaid Services?

The Carol M Mcclendon has been assigned the NPI (National Provider Identifier) 1144296740 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Carol M Mcclendon's facilities are geographically located?

The facilities of Carol M Mcclendon are physically situated at the following location: 111 Grossman Dr, Braintree, MA, 21844997.

What is Carol M Mcclendon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Carol M Mcclendon is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1144296740 to Carol M Mcclendon?

The Carol M Mcclendon received its 1144296740 assignment from the Centers for Medicare & Medicaid Services on 2006-02-24.

As of what date were the details pertaining to Carol M Mcclendon last refreshed?

The information related to the Carol M Mcclendon, including its address, specialty, and other relevant details, was last updated on 2021-03-07.

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