Provider Demographics
NPI:1336242569
Name:CLAIRMONT, ALBERT ANTHONY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ANTHONY
Last Name:CLAIRMONT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2700 WESTSIDE DR NW
Mailing Address - Street 2:SUITE 308
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-3699
Mailing Address - Country:US
Mailing Address - Phone:423-479-4132
Mailing Address - Fax:423-478-5347
Practice Address - Street 1:2700 WESTSIDE DR NW
Practice Address - Street 2:SUITE 308
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3699
Practice Address - Country:US
Practice Address - Phone:423-479-4132
Practice Address - Fax:423-478-5347
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2014-03-19
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Provider Licenses
StateLicense IDTaxonomies
TND36996207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3882460OtherINDIVIDUAL MEDICARE PTAN
TN36996OtherLICENSE
TN3882469Medicaid
TN3882460OtherINDIVIDUAL MEDICARE PTAN
TND39599Medicare UPIN