Mr Roger Fair Clem, CCC-A is a
Audiologist based in Fort Oglethorpe, Georgia. Mr Roger Fair Clem is licensed to practice in Georgia (license number 3510) and his current practice location is
140 Battlewood Dr, Fort Oglethorpe, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 861-7070.
NPI number for Mr Roger Fair Clem is 1457481491 and his current mailing address is 1606 Lake Marina Dr, Hixson, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457481491.
Healthcare Provider's Profile
Full Name | Mr Roger Fair Clem |
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Gender | Male |
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Speciality | Audiologist |
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Location | 140 Battlewood Dr, Fort Oglethorpe, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457481491
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Roger Fair Clem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457481491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 3510 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roger Fair Clem is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Roger Fair Clem, CCC-A 1606 Lake Marina Dr, Hixson, TN 37343-4661 Ph: (423) 877-5570 | Mr Roger Fair Clem, CCC-A 140 Battlewood Dr, Fort Oglethorpe, GA 30742-4006 Ph: (706) 861-7070 |
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