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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1255394953 | NPPES |
| Georgia | MEDICAID | 281523412A |
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