Provider Demographics
NPI:1780289892
Name:VOLKMANN, CLAY EDWARD
Entity type:Individual
Prefix:
First Name:CLAY
Middle Name:EDWARD
Last Name:VOLKMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 PARKWAY ST STE E
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1693
Mailing Address - Country:US
Mailing Address - Phone:336-271-4944
Mailing Address - Fax:
Practice Address - Street 1:405 PARKWAY ST STE E
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1693
Practice Address - Country:US
Practice Address - Phone:336-271-4944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1617237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist