Clemmons, Samuel Clay
Clemmons, Samuel Clay is an sole proprietor health care provider with primary practice located at 304 Haddon Ct , Franklin TN 37067-6242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clemmons, Samuel Clay can be contacted via phone (615) 771-0114.Contact Information
Primary practice address
304 Haddon Ct
Franklin TN 37067-6242
Phone: (615) 771-0114
Fax: (615) 778-0209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TN MD25854 | Tennessee |
Profile Details
| NPI number | 1194893057 |
|---|---|
| LBN Legal business name | Clemmons, Samuel Clay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1194893057 | NPPES |
| Tennessee | Other | 559915 | OMNICARE PROVIDER ID |
| Tennessee | Other | 4103936 | OMNICARE PROVIDER ID |
| Tennessee | MEDICAID | 3084363 | OMNICARE PROVIDER ID |
| Tennessee | Other | 000000167883 | OMNICARE PROVIDER ID |
| Tennessee | Other | 5000512 | OMNICARE PROVIDER ID |
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