Individual
DR. EMMETTE ROSS CLIFTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DO 319
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000532364D
—
GA
05
—
000532364E
—
GA
01
—
1306891593
MEDICARE ID
AL
05
—
159086
—
AL
05
—
159704
—
AL
05
—
164246
—
AL
01
—
511-47106
BCBS OF AL - HEALTHWEST
AL
01
—
511-47107
BCBS OF AL - RCC
AL
01
—
511-52694
BCBS OF AL - ENTERPRISE
AL
Enumeration date
05/24/2006
Last updated
03/04/2015
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