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Individual

JOHN CARL CLEMENTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1225 HARDING PL STE 5100, CHARLOTTE, NC 28204-2826
(704) 558-8503
Mailing address
1225 HARDING PLACE, SUITE 5100, CHARLOTTE, NC 28204
(704) 355-8850
(704) 355-5020

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9700509
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2238519A
PTAN
05
891050T
NC
Enumeration date
07/17/2006
Last updated
07/02/2025
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