Provider Demographics
NPI:1992088264
Name:MCCLAIN, CLIFTON ANDREW III (MD)
Entity type:Individual
Prefix:DR
First Name:CLIFTON
Middle Name:ANDREW
Last Name:MCCLAIN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1603 SAINT MARGARETS RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21409-5540
Mailing Address - Country:US
Mailing Address - Phone:410-757-7671
Mailing Address - Fax:
Practice Address - Street 1:1603 SAINT MARGARETS RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-5540
Practice Address - Country:US
Practice Address - Phone:410-757-7671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0006987207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology