Calhoun, Clyde R.

Calhoun, Clyde R. is an individual health care provider with primary practice located at 5780 Peachtree Dunwoody Road Suite 320, Atlanta GA 30342-1513. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Calhoun, Clyde R. can be contacted via phone (404) 256-2943.

Contact Information

Primary practice address
5780 Peachtree Dunwoody Road Suite 320 Atlanta GA 30342-1513
Phone: (404) 256-2943
Fax: (404) 256-6027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 018367 Georgia

Profile Details

NPI number 1487641304
LBN Legal business name Calhoun, Clyde R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 8th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487641304 NPPES
Georgia MEDICAID 000117048J
Georgia MEDICAID 000117048E
Georgia MEDICAID 000117048D

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