Provider Demographics
NPI:1134187909
Name:TORRANCE, CLARENCE B (MD)
Entity type:Individual
Prefix:
First Name:CLARENCE
Middle Name:B
Last Name:TORRANCE
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 1:3400-A OLD MILTON PKWY
Mailing Address - Street 2:STE 510
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:770-475-2233
Mailing Address - Fax:770-740-9617
Practice Address - Street 1:3400-A OLD MILTON PKWY
Practice Address - Street 2:STE 510
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-475-2233
Practice Address - Fax:770-740-9617
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010304208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics