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NPI Code Detail

MEDICARE: DR. GEORGE WALTON CLEMENT MD

MEDICARE: DR. GEORGE WALTON CLEMENT 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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician2017-02456NC
2207RG0300XGeriatric Medicine (Internal Medicine) Physician2017-02456NC

Other Identifiers

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

General Provider Information

NPI Number : 1740630607
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE WALTON CLEMENT MD
Provider Business Mailing Address
First Line : 5003 OLD CLINIC
Second Line : CB#7550
City : CHAPEL HILL
State : NC
Zip : 27599-7080
Country : US
Telephone Number : 919-966-2538
Fax Number : 919-966-6714
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-4220
Country : US
Telephone Number : 919-966-2538
Fax Number : 919-966-6714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2016
Last Update Date : 03/04/2026

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