Mcclellan, James Stuart

Mcclellan, James Stuart is an sole proprietor health care provider with primary practice located at 1601 Harmon Ave Ste 1D03 , Fort Stewart GA 31314-5611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mcclellan, James Stuart can be contacted via phone (912) 435-6633.

Contact Information

Primary practice address
1601 Harmon Ave Ste 1D03 Fort Stewart GA 31314-5611
Phone: (912) 435-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 067252 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101056826 Virginia

Profile Details

NPI number 1083696561
LBN Legal business name Mcclellan, James Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated May 5th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083696561 NPPES
Virginia Other 0101056826 STATE MEDICAL LICENSE

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