Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 4425 | TN |
NPI | 1386873677 |
---|---|
Provider Name | Dr. Wade Glazner Mcclain |
First Address | Chapel Hill, NC 27599-7070 |
Second Address | Chapel Hill, NC 27599-7070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2009 |
Last Update Date | 21/09/2021 |