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Individual
CLIFTON WADE STRAUGHN
Active
Individual
CLIFTON WADE STRAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11587
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2619
—
SC
01
—
P01086371
RR MEDICARE
SC
Enumeration date
04/19/2006
Last updated
03/07/2023
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