Individual
ERNEST CLAUDE CLEVINGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
174 THOMAS JOHNSON DR, SUITE 100, FREDERICK, MD 21702-4423
(301) 668-9380
(301) 668-9480
Mailing address
174 THOMAS JOHNSON DR, SUITE 100, FREDERICK, MD 21702-4423
(301) 668-9380
(301) 668-9480
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D57647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886503500
—
MD
Enumeration date
06/01/2006
Last updated
10/03/2011
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