Mcclelland, Alyssa C

Mcclelland, Alyssa C is an individual health care provider with primary practice located at 40 Okatie Center Blvd S Suite 350, Okatie SC 29909-7507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcclelland, Alyssa C can be contacted via phone (843) 705-3800.

Contact Information

Primary practice address
40 Okatie Center Blvd S Suite 350 Okatie SC 29909-7507
Phone: (843) 705-3800
Fax: (843) 705-3840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3032 South Carolina

Profile Details

NPI number 1912088634
LBN Legal business name Mcclelland, Alyssa C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Sep 16th, 2013 - about 13 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 1912088634 NPPES
South Carolina MEDICAID NP1082
South Carolina Other 3032

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