Healthcare Provider Details

I. General information

NPI: 1477512085
Provider Name (Legal Business Name): CLEMENT C HSIAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 N POINT PKWY SUITE 205
ALPHARETTA GA
30005-4248
US

IV. Provider business mailing address

3180 N POINT PKWY SUITE 205
ALPHARETTA GA
30005-4248
US

V. Phone/Fax

Practice location:
  • Phone: 770-777-4933
  • Fax: 770-777-4934
Mailing address:
  • Phone: 770-777-4933
  • Fax: 770-777-4934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number53917
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: