Individual
DR. JOEL B CLEMENTS IX
Active
Individual
DR. JOEL B CLEMENTS IX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD6312
TN
2086S0129X
Vascular Surgery Physician
Primary
MD6312
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00063269A
—
GA
05
—
009933930
—
AL
01
—
020041617
RR MEDICARE
—
01
—
1740069
UHC
—
01
—
2006413
BCBS OF TN
—
05
—
3158173
—
TN
01
—
62165877414
JDH
—
05
—
890658Y
—
NC
Enumeration date
09/08/2005
Last updated
02/11/2015
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