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Search › Georgia › 247000000X

Clyde Vancise

NPI 1508293655 · on the registry since 2013

Practice

Address
300 W Hospital Rd
Fort Gordon, GA 30905
Phone
(706) 787-8673
Fax
(706) 787-0105
Organisation at this address
Ddeamc
Amc Eisenhower
United States Army
United States Army
United States Army
Inferred from a shared address, not stated in the registry.
Clinicians at this address
273

Registry record

Primary taxonomy
247000000X
247000000X
Sex
Male
Record last updated
2013-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia