Individual
JAMES ALLEN CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1376 BRICKYARD RD STE 1, CHIPLEY, FL 32428-6391
(850) 638-0678
(850) 638-0678
Mailing address
PO BOX 741, CHIPLEY, FL 32428-0741
(850) 638-0678
(850) 638-0678
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 46868
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041615100
—
FL
Enumeration date
03/19/2007
Last updated
12/22/2009
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