Individual
HENRY D CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 538-7777
Mailing address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 538-7777
(912) 538-7070
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25126
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000285018M
—
GA
Enumeration date
08/09/2005
Last updated
01/27/2022
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