Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 104001563 | VA |
NPI | 1114924099 |
---|---|
Provider Name | Dr. James D Mclelland |
First Address | Richmond, VA 23233-7800 |
Second Address | Richmond, VA 23233-7800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 29/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U6114 | (02) | VA |