Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARENCE WAUGH
Active Sole ProprietorGeneral Acute Care Hospital · RIVERDALE, GA
Registration Details
- NPI Number
- 1649645011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2015 (10.365595166561 yrs)
- Last Updated
- Dec 9, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
171 STERLING RIDGE DRRIVERDALE, GA, 302744637Browse GA providers · Browse ZIP 30274
- Phone
- 4042025098
- Primary Specialty
-
General Acute Care Hospital
282N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.