Clements, Wilson Monroe

Clements, Wilson Monroe is an individual health care provider with primary practice located at 2108 E 3Rd St Suite 300, Chattanooga TN 37404-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Clements, Wilson Monroe can be contacted via phone (423) 624-5200.

Contact Information

Primary practice address
2108 E 3Rd St Suite 300 Chattanooga TN 37404-2600
Phone: (423) 624-5200
Fax: (423) 624-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2010-01100 North Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 42073 Kentucky
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 52593 Tennessee

Profile Details

NPI number 1154418150
LBN Legal business name Clements, Wilson Monroe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 2nd, 2016 - about 10 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 1154418150 NPPES
Kentucky MEDICAID 7100070870
Kentucky Other 1589G
Kentucky MEDICAID 5915281

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