Mcclain, Mary Garretson

Mcclain, Mary Garretson is an individual health care provider with primary practice located at 24530 Falcon Place Blvd Ste 100 , Abingdon VA 24211-7665. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcclain, Mary Garretson can be contacted via phone (276) 619-0075.

Contact Information

Primary practice address
24530 Falcon Place Blvd Ste 100 Abingdon VA 24211-7665
Phone: (276) 619-0075
Fax: (276) 619-0077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166788 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000007851 Tennessee

Profile Details

NPI number 1548247208
LBN Legal business name Mcclain, Mary Garretson
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jun 6th, 2018 - about 7 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 1548247208 NPPES
Virginia Other P01227705 RR MEDICARE
Virginia MEDICAID Q012374 RR MEDICARE
Virginia MEDICAID 1548247208 RR MEDICARE

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