Mcclellan, Randall Douglas

Mcclellan, Randall Douglas is an individual health care provider with primary practice located at 303 Williams Avenue Suite 1021, Huntsville AL 35801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Mcclellan, Randall Douglas can be contacted via phone (256) 536-3832.

Contact Information

Primary practice address
303 Williams Avenue Suite 1021 Huntsville AL 35801
Phone: (256) 536-3832
Fax: (256) 536-8829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 00024549 Alabama

Profile Details

NPI number 1255349775
LBN Legal business name Mcclellan, Randall Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255349775 NPPES
Alabama MEDICAID 00937065
Alabama Other 51516878

Popular Providers