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Contact Information

DEBRA MCCLELLAN, LDN
301 MED TECH PKWY STE 240
JOHNSON CITY, TN37604-2364
 Phone: 423-794-5520
 Fax: 423-282-0720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for DEBRA MCCLELLAN · (Female)

NPI Number 1851424642
Status Active
Credentials LDN
Entity Individual
Enumeration date 03/13/2007
Last updated 04/02/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 0298
  • TN Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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