Provider Demographics
NPI:1902227820
Name:MCCLAIN, DOSHIE
Entity type:Individual
Prefix:
First Name:DOSHIE
Middle Name:
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6099 MT MORIAH RD EXT
Mailing Address - Street 2:SUITE 18
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-0313
Mailing Address - Country:US
Mailing Address - Phone:901-729-7680
Mailing Address - Fax:901-729-7683
Practice Address - Street 1:6099 MT MORIAH RD EXT
Practice Address - Street 2:SUITE 18
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-0313
Practice Address - Country:US
Practice Address - Phone:901-729-7680
Practice Address - Fax:901-729-7683
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care