Provider Demographics
NPI:1851354724
Name:CLEMENT, WESLEY DOBBS SR (MD)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:DOBBS
Last Name:CLEMENT
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3230 PROSPERITY CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-0033
Mailing Address - Country:US
Mailing Address - Phone:704-510-3100
Mailing Address - Fax:704-503-1954
Practice Address - Street 1:3230 PROSPERITY CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-0033
Practice Address - Country:US
Practice Address - Phone:704-510-3100
Practice Address - Fax:704-503-1954
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2023-08-08
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Provider Licenses
StateLicense IDTaxonomies
NC19789207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0841475OtherUNITED HEALTHCARE
NC8922985Medicaid
NC22985OtherBCBS NC
NC5300845OtherCIGNA HEALTHCARE
NC8922985Medicaid