Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE MCCLURE, M.D.
Active Sole ProprietorWALLACE MCCLURE, M.D. is a General Practice healthcare provider located in WAVERLY, Tennessee. NPI 1407266653 is currently active in the NPPES registry. Verify at CMS.
General Practice · WAVERLY, TN
Registration Details
- NPI Number
- 1407266653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2014 (12.329851074589 yrs)
- Last Updated
- Apr 28, 2014
- License
-
MD4230 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 POWERS BLVD.WAVERLY, TN, 37185Browse TN providers · Browse ZIP 37185
- Phone
- 9312962054
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.