MEDICARE: JOHN E CLORE MD

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	208000000X	Pediatrics Physician	ME140404	FL
2	208000000X	Pediatrics Physician	0101288276	VA
3	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	ME140404	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538521307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN E CLORE MD

Provider Business Mailing Address
First Line	:	PO BOX 749112
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9112
Country	:	US
Telephone Number	:	434-295-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 SEMINOLE LN STE 100
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-8395
Country	:	US
Telephone Number	:	434-297-7700
Fax Number	:

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

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	04/07/2026

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Directions to “ JOHN E CLORE MD” Practice Location

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