Doctor Name: | MRS. MARGARET FITCH MCCLELLAN |
NPI Number: | 1013365550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGPCNP, MSN, RN |
License Number: | RN222787 |
Business Practice Address: | 124 Savannah Ave Statesboro, GA - 304587148 |
Business Phone Number: | 9128713777 |
Business Fax Number: | |
Mailing Address: | 1420 Whitfield Park Cir, SAVANNAH |
State: | GA |
Postal Code: | 314068211 |
Phone Number: | 9126047572 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2016 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | RN222787 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |