Organization
CLIFFORD FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M CLIFFORD (MD)
(678) 388-1355
Entity
Organization
Contact information
Practice address
1355 CHURCH STREET EXT NE STE G, MARIETTA, GA 30060-1099
(678) 388-1355
(770) 422-1416
Mailing address
1355 CHURCH STREET EXT NE STE G, MARIETTA, GA 30060-1099
(678) 388-1355
(770) 422-1416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041757
GA
Other
Enumeration date
01/24/2008
Last updated
03/03/2021
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