MR. Clyde Allen Vancise

NPI #1508293655 in Fort Gordon, Georgia

Provider Information

NPI Number
1508293655
Entity Type
Individual
Name
MR. Clyde Allen Vancise
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Health Information
Enumeration Date
Oct 3, 2013
Last Updated
Oct 3, 2013

Practice Location

Address
300 W HOSPITAL RD
State
Georgia
ZIP Code
30905-5741
Phone
(706) 787-8673

Specialties & Taxonomy Codes

Specialty
Technician, Health Information

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