Individual
MADISON CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 E. WOOD STREET, SPARTANBURG, SC 29303
(864) 560-6285
Mailing address
101 E. WOOD STREET, SPARTANBURG, SD 29303
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL89967
SC
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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