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NPI Code Detail

MEDICARE: DR. CLEMENTINO ARTURO SOLARES M.D.

MEDICARE: DR. CLEMENTINO ARTURO SOLARES 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
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) Physician62082GA
2207Y00000XOtolaryngology Physician57.005372OH

General Provider Information

NPI Number : 1033307111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLEMENTINO ARTURO SOLARES M.D.
Provider Business Mailing Address
First Line : 550 PEACHTREE ST NE STE 1135
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2234
Country : US
Telephone Number : 404-778-3381
Fax Number :
Provider Business Practice Location Address
First Line : 550 PEACHTREE ST NE STE 1135
Second Line :
City : ATLANTA
State : GA
Zip : 30308-2234
Country : US
Telephone Number : 404-778-3381
Fax Number : 216-445-9409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2007
Last Update Date : 06/03/2022

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