Individual
CLIFFORD AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 HARRY S TRUMAN PKWY, ANNAPOLIS, MD 21401-7601
(410) 897-0272
(410) 897-1968
Mailing address
200 HARRY S TRUMAN PKWY, ANNAPOLIS, MD 21401-7601
(410) 897-0272
(410) 897-1968
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102426
NC
363AM0700X
Medical Physician Assistant
102426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1736V
BCBS
NC
05
—
8102548
—
NC
05
—
887475100
—
MD
Enumeration date
01/19/2006
Last updated
02/17/2021
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