Provider Demographics
NPI:1518944669
Name:MCCLANAHAN, WILLIAM HARVEY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HARVEY
Last Name:MCCLANAHAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:70 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-9314
Mailing Address - Country:US
Mailing Address - Phone:205-814-9284
Mailing Address - Fax:205-814-9626
Practice Address - Street 1:70 PLAZA DR
Practice Address - Street 2:NORTHSIDE MEDICAL
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-9314
Practice Address - Country:US
Practice Address - Phone:205-814-9284
Practice Address - Fax:205-814-9626
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL8676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C73715Medicare UPIN