Brown, Clinton Jeffery
Brown, Clinton Jeffery is an individual health care provider with primary practice located at 901 18Th St E , Tifton GA 31794-3648. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Brown, Clinton Jeffery can be contacted via phone (229) 353-6208.Contact Information
Primary practice address
901 18Th St E
Tifton GA 31794-3648
Phone: (229) 353-6208
Fax: (229) 353-7722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 002847 | Georgia |
Profile Details
| NPI number | 1528138997 |
|---|---|
| LBN Legal business name | Brown, Clinton Jeffery |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 18th, 2012 - about 12 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 | 1528138997 | NPPES |
| Georgia | MEDICAID | 100000463B | |
| Georgia | Other | 002847 |
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