Individual provider · Type 1 NPI
William Shane McClanahan, PA-C
Medical Physician Assistant · Orange Park, FL
NPI number
1962493932
Active
Practice location
1409 Kingsley Ave Ste 14A
Orange Park, FL 32073-4541
Fax (904) 272-1222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA2114 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1962493932
William Shane McClanahan, PA-C's National Provider Identifier is 1962493932, issued on Oct 31, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orange Park, FL. The record was last updated on Oct 17, 2008.