| Doctor Name: | JAMES GODFREY MCLELLAND |
| NPI Number: | 1043550148 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 119 W Broad St Statesville, NC - 286775257 |
| Business Phone Number: | 7048737935 |
| Business Fax Number: | 7048737943 |
| Mailing Address: | 119 W Broad St, STATESVILLE |
| State: | NC |
| Postal Code: | 286775257 |
| Phone Number: | 7048737935 |
| Fax Number: | 7048737943 |
| NPI Enumeration Date: | 02/26/2013 |
| NPI Last Update Date: | 02/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 224L00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Pedorthist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |