GEORGIA MCLEAN (NPI# 1053600973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053600973 |
| Entity Type | Individual |
| Full Name | GEORGIA MCLEAN |
| Credential | LMBT |
| Practice Address |
2850 Tynecastle Hwy Banner Elk NC 28604-9716 |
| Mailing Address |
Po Box 1647 Banner Elk NC 28604-1647 |
| Practice Telephone | 8289643387 |
| Mailing Telephone | 8289643387 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 9600 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043568967 | Georgia L Mclean | Counselor | 257 Pleasant St, Unit 16, Worcester, MA 01609-4008 | 2012-08-27 |
| Street Address |
2850 TYNECASTLE HWY |
| City | BANNER ELK |
| State | NC |
| Zip Code | 28604-9716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194755 | William H Burrow Dds Pllc Dba High Country Dental Associates | Clinic/Center | 2043 Tynecastle Highway, Banner Elk, NC 28604 | 2018-11-27 |
| 1699268953 | Barium Springs Home for Children | Community/Behavioral Health | 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 | 2018-06-12 |
| 1578973996 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 158 Grandfather Home Drive, Banner Elk, NC 28604 | 2014-05-07 |
| 1134417314 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 233 Grandfather Home Dr., Banner Elk, NC 28604 | 2011-07-21 |
| 1841598745 | Ivan Smith | Pharmacist | 4059 Nc Hwy 105, Rite Aid Pharmacy, Sugar Mountain, NC 28604 | 2011-03-02 |
| 1043515679 | Grandfather Home for Children, Incorporated | Community/Behavioral Health | 64 Grandfather Home Drive, Banner Elk, NC 28604 | 2011-01-12 |
| 1710133012 | Stephanie Knowles | Social Worker | 158 Grandfather Home for Children Way, Hickory Nut Gap Road, Banner Elk, NC 28604 | 2008-08-18 |
| 1235313909 | Dennis Robert Blair | Respiratory Therapist, Registered | 335 Leslie Ln, Banner Elk, NC 28604 | 2007-12-18 |
| 1780867291 | Robert Jones | Spec/Tech, Cardiovascular | 28 Wildcat Creek Lane, Banner Elk, NC 28604 | 2007-12-07 |
| 1730308172 | Erling L Fredrickson | Social Worker | 158 Grandfather Home Way, Hickory Nut Gap Rd., Banner Elk, NC 28604 | 2007-04-24 |
| Find all providers in zip 28604 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780438 | Maurice Lemont Suggs | Massage Therapist | 2700 Cluskey Way Apt 303, Raleigh, NC 27615-8067 | 2020-11-08 |
| 1275133183 | Nick Van Ngo | Massage Therapist | 6208 Fayetteville Rd Ste 101, Durham, NC 27713-6286 | 2020-10-29 |
| 1235739756 | Tamara Leigh Blankenship | Massage Therapist | 2427 Pebblestone Ct, Gastonia, NC 28054-2728 | 2020-10-26 |
| 1366041972 | Brandon Hammonds | Massage Therapist | 806 Autumn Leaves Ct, Wilmington, NC 28411-7777 | 2020-10-23 |
| 1972102069 | Lacretia Denise Ray | Massage Therapist | 310 W Copenhaver Dr, Clayton, NC 27527-9549 | 2020-10-20 |
| 1366041766 | Jonathan P Godwin | Massage Therapist | 4104 Cross Creek Ct Apt D, Raleigh, NC 27607-6549 | 2020-10-19 |
| 1376141994 | Jonathan D Thompson | Massage Therapist | 215 N Hayne St, Monroe, NC 28112-4856 | 2020-10-15 |
| 1548868706 | Jairo Marte | Massage Therapist | 2311 W Cone Blvd Ste 121, Greensboro, NC 27408-4042 | 2020-10-11 |
| 1558968867 | Lonnie A Coleman | Massage Therapist | 516 Coapman St Apt B, Greensboro, NC 27407-1873 | 2020-10-08 |
| 1588261895 | Heather Ferrell | Massage Therapist | 1998 Hendersonville Rd Ste 12, Asheville, NC 28803-2192 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | BANNER ELK |
| Zip Code | 28604 |
Please comment or provide details below to improve the information on GEORGIA MCLEAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.