Thomas M. Clements PA

NPI 1952411597 - Physician Assistant - 363AM0700X

NPI Details
NPI 1952411597
Gender Male
Enumeration Date 08/30/2006
Last Updated 03/31/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1120 15TH ST
AUGUSTA GA, 30912-0004, US
Phone (706) 721-9729
Fax (706) 721-8507
Business Location
1499 WALTON WAY
STE 1400
AUGUSTA GA, 30901-2602, US
Phone (706) 828-6410
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 003674
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According to our database, Thomas M. Clements PA NPI is 1952411597, taxonomy code is 363AM0700X and license number is 003674, license state is located at Georgia. Thomas M. Clements PA physically located at 1120 15th St, Augusta GA, 30912-0004. NPI Number Thomas M. Clements PA has the Individual type.

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1952411597 NPI number is provided on an as is basis without warranty of any kind. 1952411597 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas M. Clements PA are for informational purposes only.