Individual
DR. CLIFTON GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1023 WEST FORT WILLIAMS ST, SYLACAUGA, AL 35150-2432
(256) 245-6700
(256) 245-6002
Mailing address
1023 WEST FORT WILLIAMS ST, SYLACAUGA, AL 35150-2432
(256) 245-6700
(256) 245-6002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26623
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123821
—
AL
01
—
51109879
BLUE CROSS
AL
Enumeration date
07/26/2006
Last updated
04/26/2011
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