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NELSON CLEMENTS DMD INC NPI 1477975597


NPI Information

NPI: 1477975597
Provider Name: NELSON CLEMENTS DMD INC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
2310 N PATTERSON ST BLDG E
VALDOSTA, GA
ZIP 31602
Phone: (229) 242-5511
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NELSON CLEMENTS DMD INC is a point of service in Valdosta, GA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. NELSON CLEMENTS DMD INC NPI is 1477975597. The provider is registered as an organization entity type.

The provider's business location address is:

2310 N PATTERSON ST BLDG E
VALDOSTA, GA
ZIP 31602-500
Phone: (229) 242-5511

The provider's authorized official is Karen Sanders .
The authorized official title is Office Manager and has the following contact phone number (229) 242-5511.

The enumeration date for this NPI number is 1/8/2014 and was last updated on 4/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service9150GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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