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Wallace Mcclure, MD
General Practice Physician in Waverly, Tennessee
NPI 1407266653

Wallace Mcclure is a General Practice Physician based in Waverly, TN. Wallace Mcclure practices in Waverly, TN and has the professional credentials of MD. The NPI Number for Wallace Mcclure is 1407266653 and holds a License No. MD4230 (Tennessee).

The current practice location address for Wallace Mcclure is 450 Powers Blvd., Waverly, TN and can be reached out via phone at 931-296-2054.

Location: 450 Powers Blvd., Waverly, TN, 37185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407266653
Provider Name
Wallace Mcclure
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 Powers Blvd., Waverly, TN, 37185
Phone Number
931-296-2054
Fax Number
Provider Enumeration Date
04/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
450 Powers Blvd.
City
Waverly
State
Tennessee
Zip
37185
Phone Number
931-296-2054
Fax Number
person
Provider Business Mailing Address Details
Address
450 Powers Blvd.
City
Waverly
State
Tennessee
Zip
37185
Phone Number
931-296-2054
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD4230 (Tennessee)
Definition
Definition to come...
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