Mack H Clements in Pine Mountain - General Practice

Mack H Clements - NPI 1255331351

Mack H Clements is a General Practice in Pine Mountain, Georgia. Mack H Clements practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mack H Clements is 1255331351. The last update date is 2019-10-14.

Mack H Clements's current location address is Po Box 516, Pine Mountain, Georgia. You can contact this provider via phone number 7066632574 and fax number 7066635954. The mailing address for Mack H Clements is Po Box 516, Pine Mountain, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mack H Clements
Address Po Box 516, Pine Mountain, Georgia
Phone Number 7066632574
Fax Number 7066635954
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1255331351
Provider Enumeration Date 2005-07-29
Last Updated Date 2019-10-14

Provider Mailing Address Detail

Address Po Box 516
City Pine Mountain
State Georgia (GA)
Post Code 318220516
Phone Number 7066632574
Fax Number 7066635954

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 11304
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00070452A GA --
00070452B GA --

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FAQs about Mack H Clements

What is the unique 10-digit identification code issued to Mack H Clements by the Centers for Medicare & Medicaid Services?

The Mack H Clements has been assigned the NPI (National Provider Identifier) 1255331351 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 Mack H Clements is located?

The Mack H Clements is situated at the following address: Po Box 516, Pine Mountain, GA, 318220516.

What is Mack H Clements's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mack H Clements is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1255331351 to Mack H Clements?

The Centers for Medicare & Medicaid Services assigned the 1255331351 to Mack H Clements on 2005-07-29.

As of what date were the Mack H Clements's details last updated?

The information pertaining to the Mack H Clements, including its address, specialty, and other details, was most recently updated on 2019-10-14.

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