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Individual

DR. JOEL B CLEMENTS IX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2108 E 3RD ST, SUITE 200, CHATTANOOGA, TN 37404-2600
(423) 267-0466
(423) 493-2395
Mailing address
979 E 3RD ST, STE 300, CHATTANOOGA, TN 37403-2136
(423) 267-0466
(423) 493-2395

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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