Clifford, David Maurice

Clifford, David Maurice is an sole proprietor health care provider with primary practice located at 1355 Church St Ext Ne Ste G , Marietta GA 30060-1099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clifford, David Maurice can be contacted via phone (678) 388-1355.

Contact Information

Primary practice address
1355 Church St Ext Ne Ste G Marietta GA 30060-1099
Phone: (678) 388-1355
Fax: (770) 422-1416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 041757 Georgia

Profile Details

NPI number 1255394953
LBN Legal business name Clifford, David Maurice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Mar 3rd, 2021 - about 3 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 1255394953 NPPES
Georgia MEDICAID 281523412A

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