Provider Demographics
NPI:1902672876
Name:MCCLAM, DARCEY O'STEEN (OMT)
Entity Type:Individual
Prefix:
First Name:DARCEY
Middle Name:O'STEEN
Last Name:MCCLAM
Suffix:
Gender:F
Credentials:OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 HIDDEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7108
Mailing Address - Country:US
Mailing Address - Phone:919-724-1691
Mailing Address - Fax:
Practice Address - Street 1:186 HIDDEN VALLEY DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-7108
Practice Address - Country:US
Practice Address - Phone:919-724-1691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other