Charles, Cliford

Charles, Cliford is an individual health care provider with primary practice located at 616 Dyer Dr , Locust Grove GA 30248-2350. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Charles, Cliford can be contacted via phone (770) 480-9608.

Contact Information

Primary practice address
616 Dyer Dr Locust Grove GA 30248-2350
Phone: (770) 480-9608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X

Profile Details

NPI number 1346982766
LBN Legal business name Charles, Cliford
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2022
Last updated Mar 31st, 2024 - about 2 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.

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