Individual
ELTON SHEROD CLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
103656
NC
363AS0400X
Surgical Physician Assistant
Primary
103656
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00016016
RAILROAD MEDICARE
—
Enumeration date
07/14/2005
Last updated
03/21/2024
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