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1629584461
BENJAMIN WAYNE MCCLELLAN
CHATTANOOGA, TN
NPI
1629584461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TN 20790)
Enumeration Date
2017-12-15
Last Update Date
2017-12-15
Business Address
BENJAMIN WAYNE MCCLELLAN NP
979 E 3RD ST STE C830
CHATTANOOGA, TN 37403-3325
Phone number: 423-778-9001
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Mailing Address
BENJAMIN WAYNE MCCLELLAN NP
975 EAST THIRD STREET ATTN: PROVIDER ENROLLMENT
CHATTANOOGA, TN 37403-2147
Phone number: 423-778-9001
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