| Doctor Name: | DR. MARION M MCCLELLAN |
| NPI Number: | 1265491138 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 008497 |
| Business Practice Address: | 4905 Courtney Dr Forest Park, GA - 302971427 |
| Business Phone Number: | 4043663636 |
| Business Fax Number: | 4043620808 |
| Mailing Address: | 2575 Peachtree Rd Ne, Apt 23f ATLANTA |
| State: | GA |
| Postal Code: | 303053694 |
| Phone Number: | 4042615644 |
| Fax Number: | 4043620808 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 01/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 008497 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |