Search › Georgia › 225100000X
Charles Clevenger, PT
NPI 1760850655 · on the registry since 2015
Practice
- Address
- 144 Bill Carruth Pkwy
Suite 4700
Hiram, GA 30141 - Phone
- (678) 453-5717
- Fax
- (770) 738-5476
- Organisation at this address
- Paulding Medical Center Inc
Interventional Spine & Pain Management Center, Pc
Pinnacle Orthopaedics & Sports Medicine Specialists LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-21
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