Provider Demographics
NPI:1275925786
Name:MCLAIN MIDWIFERY
Entity Type:Organization
Organization Name:MCLAIN MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:DIONNE
Authorized Official - Last Name:MCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LM CPM
Authorized Official - Phone:864-706-8743
Mailing Address - Street 1:850 FLOYD ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1048
Mailing Address - Country:US
Mailing Address - Phone:864-706-8743
Mailing Address - Fax:864-285-0583
Practice Address - Street 1:850 FLOYD ROAD EXT
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1048
Practice Address - Country:US
Practice Address - Phone:864-706-8743
Practice Address - Fax:864-285-0583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-21
Last Update Date:2015-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLMW0060176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty