Church, Clifford E

Church, Clifford E is an individual health care provider with primary practice located at 417 W 3Rd Ave , Albany GA 31701-1943. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Church, Clifford E can be contacted via phone (706) 653-1088.

Contact Information

Primary practice address
417 W 3Rd Ave Albany GA 31701-1943
Fax: (706) 653-1162
Website:

Profile Details

NPI number 1598748204
LBN Legal business name Church, Clifford E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1598748204 NPPES
Georgia Other 52103061004 BCBS

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