Provider Demographics
NPI:1710973896
Name:DRIGGERS, CLARKSON M (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARKSON
Middle Name:M
Last Name:DRIGGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CIRCLE 75 PKWY.
Mailing Address - Street 2:STE. 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3084
Mailing Address - Country:US
Mailing Address - Phone:678-426-2171
Mailing Address - Fax:404-446-1957
Practice Address - Street 1:1250 UPPER HEMBREE RD
Practice Address - Street 2:SUITE C
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4651
Practice Address - Country:US
Practice Address - Phone:678-990-9851
Practice Address - Fax:678-990-9869
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA44448207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology