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Mr. William Shane Mcclanahan, PA-C
Medical Physician Assistant in Orange Park, Florida
NPI 1962493932

William Shane Mcclanahan is a Medical Physician Assistant based in Orange Park, FL and is specialized in Medical. William Shane Mcclanahan practices in Orange Park, FL and has the professional credentials of PA-C. The NPI Number for William Shane Mcclanahan is 1962493932 and holds a License No. PA2114 (Florida).

The current practice location address for William Shane Mcclanahan is 1409 Kingsley Ave Ste 14A, Orange Park, FL and can be reached out via phone at 904-213-3555 and via fax at 904-272-1222.

Location: 1409 Kingsley Ave Ste 14A, Orange Park, FL, 32073-4541
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Provider Profile Details
NPI Number
1962493932
Provider Name
William Shane Mcclanahan
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1409 Kingsley Ave Ste 14A, Orange Park, FL, 32073-4541
Phone Number
904-213-3555
Fax Number
904-272-1222
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
291267800 05 FL
institution
Provider Business Practice Location Address Details
Address
1409 Kingsley Ave Ste 14A
City
State
Zip
32073-4541
Phone Number
904-213-3555
Fax Number
904-272-1222
person
Provider Business Mailing Address Details
Address
1409 Kingsley Ave Ste 14A
City
State
Zip
32073-4541
Phone Number
904-213-3555
Fax Number
904-272-1222
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2114 (Florida)
Definition
Definition to come...
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