Doctor Name: | DR. HAMPTON LEE MCCLENDON |
NPI Number: | 1801053103 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 301 Fisher St 81 Msgs Sgcq Keesler Afb, MS - 395342519 |
Business Phone Number: | 2283765571 |
Business Fax Number: | |
Mailing Address: | 3213 N 6th St, OCEAN SPRINGS |
State: | MS |
Postal Code: | 395648738 |
Phone Number: | 3345908414 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2008 |
NPI Last Update Date: | 05/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |