Individual
BRUCE D CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2250 IVY ROAD, STE 200, CHARLOTTESVILLE, VA 22903-4977
(434) 654-4550
(844) 307-8606
Mailing address
PO BOX 746550, ATLANTA, GA 30374-6550
(888) 236-2263
(844) 307-8606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057895
VA
Other
Enumeration date
06/14/2006
Last updated
06/14/2022
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