# CLIFFORD AMOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023098514
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 102426 | NC | Yes |
| 363AM0700X | Medical Physician Assistant | 102426 | NC | — |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 02/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1736V | BCBS | NC |
| 05 | — | 8102548 | — | NC |
| 05 | — | 887475100 | — | MD |