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
- City
- Fort Gordon
- State
- Georgia
- ZIP Code
- 30905-5741
- Phone
- (706) 787-8673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Health Information |
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| Provider Name | |
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