Straughn, Clifton Wade

Straughn, Clifton Wade is an individual health care provider with primary practice located at 105 Buford Ave , Anderson SC 29621-3313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Straughn, Clifton Wade can be contacted via phone (864) 512-5901.

Contact Information

Primary practice address
105 Buford Ave Anderson SC 29621-3313
Phone: (864) 512-5901
Fax: (864) 225-1058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11587 South Carolina

Profile Details

NPI number 1043275506
LBN Legal business name Straughn, Clifton Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 7th, 2023 - about 3 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 1043275506 NPPES
South Carolina Other P01086371 RR MEDICARE
South Carolina MEDICAID GP2619 RR MEDICARE

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