Individual
DONALD EUGENE CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1009 NORTH STATE OF FRANKLIN ACCESS ROAD, JOHNSON CITY, TN 37604-3693
(423) 929-7546
(423) 929-7968
Mailing address
1009 NORTH STATE OF FRANKLIN ACCESS ROAD, JOHNSON CITY, TN 37604-3693
(423) 929-7546
(423) 929-7968
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17509
TN
207ND0900X
Dermatopathology Physician
17509
TN
207NS0135X
Procedural Dermatology Physician
17509
TN
Other
Enumeration date
05/23/2005
Last updated
06/01/2009
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