Individual provider · Type 1 NPI
Wallace McClure, MD
General Practice Physician · Waverly, TN
NPI number
1407266653
Active
Practice location
450 Powers Blvd.
Waverly, TN 37185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD4230 (TN) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1407266653
Wallace McClure, MD's National Provider Identifier is 1407266653, issued on Apr 28, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Waverly, TN. The record was last updated on Apr 28, 2014.