Individual
ADAM JOSEPH CLODFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 599-2121
Mailing address
4401 N HIMES AVE STE 175, TAMPA, FL 33614-7095
(813) 393-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001014223
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2024
Last updated
06/17/2024
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