Individual
CLIFTON JARRETT PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 LINCOLN PARK DRIVE, NEW LEXINGTON, OH 43764
(740) 342-5107
(740) 342-5351
Mailing address
PO BOX 229, NEW LEXINGTON, OH 43764
(740) 342-5107
(740) 342-5351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35083418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2432924
—
OH
Enumeration date
08/16/2005
Last updated
07/16/2007
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