Individual
DAVID MAURICE CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1355 CHURCH ST EXT NE STE G, MARIETTA, GA 30060-1099
(678) 388-1355
(770) 422-1416
Mailing address
1355 CHURCH STREET EXT NE STE G, MARIETTA, GA 30060-1099
(678) 388-1355
(770) 422-1416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281523412A
—
GA
Enumeration date
04/11/2006
Last updated
03/03/2021
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