Macconnell, Clayton M

Macconnell, Clayton M is an individual health care provider with primary practice located at 110 Saint Blaise Rd Ste 200 , Gallatin TN 37066-4594. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macconnell, Clayton M can be contacted via phone (615) 230-8070.

Contact Information

Primary practice address
110 Saint Blaise Rd Ste 200 Gallatin TN 37066-4594
Fax: (615) 452-1774
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17254 Tennessee

Profile Details

NPI number 1891767794
LBN Legal business name Macconnell, Clayton M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated May 16th, 2023 - about last year

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 1891767794 NPPES
Tennessee MEDICAID 3021676

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