Provider Demographics
NPI:1609292895
Name:SHEFFIELD, CLINTON MCWILLIAMS (DC)
Entity Type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:MCWILLIAMS
Last Name:SHEFFIELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2935 N ASHLEY ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1777
Mailing Address - Country:US
Mailing Address - Phone:229-469-4069
Mailing Address - Fax:
Practice Address - Street 1:2935 N ASHLEY ST
Practice Address - Street 2:SUITE 109
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1777
Practice Address - Country:US
Practice Address - Phone:229-469-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor