Albert, Clive
Albert, Clive is an sole proprietor health care provider with primary practice located at 1100 Northside Forsyth Dr Suite 330, Cumming GA 30041-6012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Albert, Clive can be contacted via phone (770) 889-9901.Contact Information
Primary practice address
1100 Northside Forsyth Dr Suite 330
Cumming GA 30041-6012
Phone: (770) 889-9901
Fax: (770) 889-9088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 035800 | Georgia |
Profile Details
| NPI number | 1821099987 |
|---|---|
| LBN Legal business name | Albert, Clive |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 30th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821099987 | NPPES |
| Georgia | MEDICAID | 000511948D |
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