Mark P Clemons in Memphis - Otolaryngology

Mark P Clemons - NPI 1457394611

Mark P Clemons is a Otolaryngology in Memphis, Tennessee. Mark P Clemons practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Mark P Clemons is 1457394611. The last update date is 2012-10-01.

Mark P Clemons's current location address is 6616 Kirby Center Cv, Memphis, Tennessee. You can contact this provider via phone number 9013638400 and fax number 9013638644. The mailing address for Mark P Clemons is 6616 Kirby Center Cv, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark P Clemons
Address 6616 Kirby Center Cv, Memphis, Tennessee
Phone Number 9013638400
Fax Number 9013638644
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1457394611
Provider Enumeration Date 2006-06-14
Last Updated Date 2012-10-01

Provider Mailing Address Detail

Address 6616 Kirby Center Cv
City Memphis
State Tennessee (TN)
Post Code 38115
Phone Number 9013638400
Fax Number 9013638644

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No MD0000016200
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3013157 TN --
111549001 AR --

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FAQs about Mark P Clemons

What is the unique 10-digit identification code issued to Mark P Clemons by the Centers for Medicare & Medicaid Services?

The Mark P Clemons has been assigned the NPI (National Provider Identifier) 1457394611 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Mark P Clemons is located?

The Mark P Clemons is situated at the following address: 6616 Kirby Center Cv, Memphis, TN, 38115.

What is the Mark P Clemons's area of specialization and corresponding taxonomy classification?

The Mark P Clemons's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457394611 to Mark P Clemons?

The Centers for Medicare & Medicaid Services originally issued the 1457394611 to Mark P Clemons on 2006-06-14.

When was the information pertaining to Mark P Clemons most recently updated or revised?

The details related to Mark P Clemons, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-01.

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