Provider Demographics
NPI:1619937943
Name:CLEMENT, NEAL GARVER (MD)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:GARVER
Last Name:CLEMENT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 HELTON DR
Mailing Address - Street 2:STE A
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1069
Mailing Address - Country:US
Mailing Address - Phone:256-718-3200
Mailing Address - Fax:256-718-3297
Practice Address - Street 1:2129 HELTON DR
Practice Address - Street 2:STE A
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1069
Practice Address - Country:US
Practice Address - Phone:256-718-3200
Practice Address - Fax:256-718-3297
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00007687207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000088459Medicaid
200013433Medicare PIN
AL000088459Medicare ID - Type Unspecified
C75338Medicare UPIN