M.D. Michael Neill Clemenshaw, NPI 1053531368
Diagnostic Radiology Physician in Augusta, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1053531368
NPI Entity Type Individual
Provider Name M.D. Michael Neill Clemenshaw
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1120 15th St, Augusta, GA, US
Provider Mailing Address 1120 15th St Ste Bi-1056, Augusta, GA, US, 309120004
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. P2216
License State TX
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

M.D. Michael Neill Clemenshaw
1120 15th St

Augusta, GA, US

Phone: 706-721-8623

Mailing Address

M.D. Michael Neill Clemenshaw
1120 15th St Ste Bi-1056
Augusta, GA, US
ZIP 309120004
Phone: 706-721-8623
Fax: 706-721-1459

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207UN0902X

Allopathic & Osteopathic Physicians

Nuclear Medicine

P2216 TX No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
003226229A GA MEDICAID 05
83825 GA GEORGIA MEDICAL LICENSE 01

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