Morris, Clell Vandiver
Morris, Clell Vandiver is an sole proprietor health care provider with primary practice located at 1230 Baxter St , Athens GA 30606-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Morris, Clell Vandiver can be contacted via phone (706) 389-3879.Contact Information
Primary practice address
1230 Baxter St
Athens GA 30606-3712
Phone: (706) 389-3879
Fax: (706) 389-3881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 19564 | Georgia |
Profile Details
| NPI number | 1396799011 |
|---|---|
| LBN Legal business name | Morris, Clell Vandiver |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Oct 25th, 2012 - about 13 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 | 1396799011 | NPPES |
| Georgia | MEDICAID | 000155053K |
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