Individual
ROBERT LEE CLODFELTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 HOSPITAL MEDICAL CENTER, HILTON HEAD, SC 29926
(843) 689-8281
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19445
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115145684A
—
GA
05
—
194453
—
SC
01
—
20028894
SELECT HEALTH
—
01
—
P00114180
RR MEDICARE
—
Enumeration date
05/11/2006
Last updated
04/17/2025
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