Individual
DR. SAMUEL CLAY CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 HADDON CT, FRANKLIN, TN 37067-6242
(615) 771-0114
(615) 778-0209
Mailing address
304 HADDON CT, FRANKLIN, TN 37067-6242
(615) 771-0114
(615) 778-0209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TN MD25854
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000167883
BETTER HEALTH
TN
05
—
3084363
—
TN
01
—
4103936
BCBS PROVIDER #
TN
01
—
5000512
TLC PROVIDER #
TN
01
—
559915
OMNICARE PROVIDER ID
TN
Enumeration date
11/30/2006
Last updated
07/09/2007
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