Kathleen A. Clary in Pooler - Corneal And Contact Management
Kathleen A. Clary - NPI 1609849389
Kathleen A. Clary is a Corneal And Contact Management in Pooler, Georgia. Kathleen A. Clary practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Kathleen A. Clary is 1609849389. The last update date is 2022-11-30.
Kathleen A. Clary's current location address is 200 Mosaic Cir, Pooler, Georgia. You can contact this provider via phone number 9123484584. The mailing address for Kathleen A. Clary is 200 Mosaic Cir, Pooler, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen A. Clary |
|---|---|
| Address | 200 Mosaic Cir, Pooler, Georgia |
| Phone Number | 9123484584 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1609849389 |
|---|---|
| Provider Enumeration Date | 2006-02-11 |
| Last Updated Date | 2022-11-30 |
Provider Mailing Address Detail
| Address | 200 Mosaic Cir |
|---|---|
| City | Pooler |
| State | Georgia (GA) |
| Post Code | 313225025 |
| Phone Number | 9123484584 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 618000373 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D19772 | SC | -- | |
| SCB632E499 | SC | SC MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kathleen A. Clary?
The Kathleen A. Clary has been issued the NPI (National Provider Identifier) 1609849389 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kathleen A. Clary is physically located?
The Kathleen A. Clary is physically situated at the following address: 200 Mosaic Cir, Pooler, GA, 313225025.
What is Kathleen A. Clary's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathleen A. Clary is Corneal And Contact Management, and the taxonomy code that categorizes this field of expertise is 152Wc0802X.
On what date was the 1609849389 assigned to Kathleen A. Clary?
The Kathleen A. Clary was issued its 1609849389 on 2006-02-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kathleen A. Clary, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kathleen A. Clary, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-11-30.