Individual
MR. CLINTON AMOS MEDBERY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 WAMPLER DR, CHARLESTON, SC 29412-9176
(405) 210-7471
Mailing address
535 WAMPLER DR, CHARLESTON, SC 29412-9176
(405) 210-7471
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
16840
OK
Other
Enumeration date
07/07/2005
Last updated
10/17/2020
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