Mclean, Gwendellyn L

Mclean, Gwendellyn L is an sole proprietor health care provider with primary practice located at 2022 Brookwood Medical Center Dr Suite 409 Acc, Birmingham AL 35209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mclean, Gwendellyn L can be contacted via phone (205) 879-9290.

Contact Information

Primary practice address
2022 Brookwood Medical Center Dr Suite 409 Acc Birmingham AL 35209
Phone: (205) 879-9290
Fax: (205) 879-5456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 00004159 Alabama

Profile Details

NPI number 1194799429
LBN Legal business name Mclean, Gwendellyn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1194799429 NPPES
Other 0310031 UNITED

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