M.D. Michael Neill Clemenshaw, NPI 1053531368
Diagnostic Radiology Physician in Augusta, GA, US
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 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| License No. | P2216 |
| License State | TX |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 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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