William David McClendon Jr., md
General Practice in Pascagoula, MS. Individual provider (NPI-1).
NPI number1790735652
StatusActive
Last updated in NPPESJun 12, 2019
Details
- NPI
- 1790735652
- Entity type
- Individual (NPI-1)
- Name
- William David McClendon Jr.
- Credential
- md
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2006
- Last updated
- Jun 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 18910 | MS | Yes |
Practice location
2809 Denny AvePascagoula, MS 39581-5301
Phone 228-809-5510 · Fax 228-809-5519
Mailing address
1161 Robinson StOcean Springs, MS 39564-3841
Phone 228-244-9910 · Fax 228-244-9912
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