Head, Clarence Alvin
Head, Clarence Alvin is an individual health care provider with primary practice located at 1120 15Th St Room 2144, Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Head, Clarence Alvin can be contacted via phone (423) 424-3871.Contact Information
Primary practice address
1120 15Th St Room 2144
Augusta GA 30912-0004
Phone: (423) 424-3871
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 034154 | Georgia |
Profile Details
| NPI number | 1447237714 |
|---|---|
| LBN Legal business name | Head, Clarence Alvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447237714 | NPPES |
| South Carolina | MEDICAID | GPA854 |
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