Provider Demographics
NPI:1912168378
Name:MCCLARY, GUY ELTON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:ELTON
Last Name:MCCLARY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-777-7042
Mailing Address - Fax:843-777-7102
Practice Address - Street 1:800 E CHEVES ST
Practice Address - Street 2:SUITE 310
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2650
Practice Address - Country:US
Practice Address - Phone:843-679-7272
Practice Address - Fax:843-679-7215
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC30969207Q00000X
SCLL30969207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC309696Medicaid
SC3774703OtherCIGNA
SCAA64128552OtherMEDICARE PTAN
SC9846723OtherAETNA
SCP00995697OtherRAILROAD MEDICARE