Provider Demographics
NPI:1710517859
Name:MCGLOTHIN, JAMES ELWOOD (CDCA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ELWOOD
Last Name:MCGLOTHIN
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HIGH MEADOW LN APT 6
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-1421
Mailing Address - Country:US
Mailing Address - Phone:513-687-4667
Mailing Address - Fax:
Practice Address - Street 1:70 HIGH MEADOW LN APT 6
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-1421
Practice Address - Country:US
Practice Address - Phone:513-687-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist