Clifford Family Practice | |
1355 Church Street Ext Ne Ste G Marietta GA 30060-1099 | |
(678) 388-1355 | |
(770) 422-1416 |
Full Name | Clifford Family Practice |
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Speciality | Family Medicine |
Location | 1355 Church Street Ext Ne Ste G, Marietta, Georgia |
Authorized Official Name and Position | David M Clifford (MD) |
Authorized Official Contact | 6783881355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clifford Family Practice 1355 Church Street Ext Ne Ste G Marietta GA 30060-1099 Ph: (678) 388-1355 | Clifford Family Practice 1355 Church Street Ext Ne Ste G Marietta GA 30060-1099 Ph: (678) 388-1355 |
NPI Number | 1023295730 |
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Provider Enumeration Date | 01/24/2008 |
Last Update Date | 03/03/2021 |
Medicare PECOS PAC ID | 2961484084 |
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Medicare Enrollment ID | O20040603000062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023295730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 041757 (Georgia) | Primary |
Provider Name | David Maurice Clifford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255394953 PECOS PAC ID: 5698872257 Enrollment ID: I20101227000177 |
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