Clarence Joe is a Diagnostic Radiology in Augusta, Georgia. Clarence Joe practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Clarence Joe is 1912017252. The last update date is 2020-04-21.
Clarence Joe's current location address is 1120 15th St, Augusta, Georgia. You can contact this provider via phone number 7067219729 and fax number 7067218507. The mailing address for Clarence Joe is 1120 15th St, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence Joe |
|---|---|
| Address | 1120 15th St, Augusta, Georgia |
| Phone Number | 7067219729 |
| Fax Number | 7067218507 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912017252 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-04-21 |
Provider Mailing Address Detail
| Address | 1120 15th St |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309120004 |
| Phone Number | 7067219729 |
| Fax Number | 7067218507 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 19888 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000155471C | GA | -- | |
| R19888 | SC | -- | |
| 300022473 | GA | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clarence Joe?
The Clarence Joe has been issued the NPI (National Provider Identifier) 1912017252 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Clarence Joe is physically located?
The Clarence Joe is situated at the following address: 1120 15Th St, Augusta, GA 309120004.
What is the area of specialization for Clarence Joe, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clarence Joe is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912017252 to Clarence Joe?
The Clarence Joe received its 1912017252 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details related to Clarence Joe most recently updated or revised?
The information pertaining to Clarence Joe, including its address, specialty, and other relevant details, was last updated or revised on 2020-04-21.