Individual
CLIFTON G SITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
621 N RIVERSIDE DR, SITES VISION CLINIC, CLARKSVILLE, TN 37040
(931) 647-5237
(931) 647-5254
Mailing address
621 N RIVERSIDE DR, SITES VISION CLINIC, CLARKSVILLE, TN 37040
(931) 647-5237
(931) 647-5254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT652
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131605
BCBS
—
05
—
359237
—
TN
Enumeration date
08/10/2006
Last updated
05/05/2011
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