Clemmons, Joseph William

Clemmons, Joseph William is an sole proprietor health care provider with primary practice located at 1538 13Th. Ave Suite B300, Columbus GA 31901-3700. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Clemmons, Joseph William can be contacted via phone (706) 321-9300.

Contact Information

Primary practice address
1538 13Th. Ave Suite B300 Columbus GA 31901-3700
Phone: (706) 321-9300
Fax: (706) 321-9384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1538 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001538 Georgia

Profile Details

NPI number 1447312400
LBN Legal business name Clemmons, Joseph William
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Sep 17th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447312400 NPPES
Georgia MEDICAID 100001103D

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