Courson, Clarence David

Courson, Clarence David is an individual health care provider with primary practice located at 6262 Veterans Pkwy , Columbus GA 31909-3540. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Courson, Clarence David can be contacted via phone (706) 324-6661.

Contact Information

Primary practice address
6262 Veterans Pkwy Columbus GA 31909-3540
Phone: (706) 324-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003198 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.657 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3198 Georgia

Profile Details

NPI number 1164568135
LBN Legal business name Courson, Clarence David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Apr 3rd, 2025 - about last year

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 1164568135 NPPES
Georgia MEDICAID 849945840A

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