Clarence B Watridge MD

NPI 1013918085 - Neurological Surgery - 207T00000X

NPI Details
NPI 1013918085
Gender Male
Enumeration Date 08/02/2005
Last Updated 12/10/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax (904) 953-7233
Business Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax (901) 522-2688
Toxanomy
Taxonomy Code 207T00000X
License State Tennessee
License Number MD09670
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According to our database, Clarence B Watridge MD NPI is 1013918085, taxonomy code is 207T00000X and license number is MD09670, license state is located at Tennessee. Clarence B Watridge MD physically located at 4500 San Pablo Rd S, Jacksonville FL, 32224-1865. NPI Number Clarence B Watridge MD has the Individual type.

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1013918085 NPI number is provided on an as is basis without warranty of any kind. 1013918085 is maintained by the National Plan & Provider Enumeration System. The contents of Clarence B Watridge MD are for informational purposes only.