Individual
JACOB MICHAEL CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 270-9110
(337) 651-2923
Mailing address
820 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 270-9110
(337) 651-2923
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
337034
LA
Other
Enumeration date
03/28/2020
Last updated
08/29/2024
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