MEDICARE: DR. SONGHAI CLESTINE BARCLIFT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0101229797	VA
2	207VX0000X	Obstetrics Physician	95251	GA
3	207VG0400X	Gynecology Physician	95251	GA

General Provider Information

NPI Number	:	1558322396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONGHAI CLESTINE BARCLIFT M.D.

Provider Business Mailing Address
First Line	:	11110 SERENBE LN STE 100
Second Line	:
City	:	CHATTAHOOCHEE HILLS
State	:	GA
Zip	:	30268-2554
Country	:	US
Telephone Number	:	678-890-0984
Fax Number	:	678-890-6262

Provider Business Practice Location Address
First Line	:	11110 SERENBE LN STE 100
Second Line	:
City	:	CHATTAHOOCHEE HILLS
State	:	GA
Zip	:	30268-2554
Country	:	US
Telephone Number	:	678-890-0984
Fax Number	:	678-890-6262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	05/05/2025

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