Individual
DR. CLINTON JAMES PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
062148
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
002439
GA
Other
Enumeration date
06/28/2007
Last updated
06/16/2009
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