Individual
CHARLES FREDERICK CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-7573
Mailing address
301 NOBLE OAKS DR APT 9, SAVANNAH, GA 31406-2673
(912) 359-7573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14533
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/05/2022
Last updated
12/19/2024
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