Healthcare Provider Details

I. General information

NPI: 1558322396
Provider Name (Legal Business Name): SONGHAI CLESTINE BARCLIFT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11110 SERENBE LN STE 100
CHATTAHOOCHEE HILLS GA
30268-2554
US

IV. Provider business mailing address

11110 SERENBE LN STE 100
CHATTAHOOCHEE HILLS GA
30268-2554
US

V. Phone/Fax

Practice location:
  • Phone: 678-890-0984
  • Fax: 678-890-6262
Mailing address:
  • Phone: 678-890-0984
  • Fax: 678-890-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101229797
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number95251
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number95251
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: