NPI 1023246295

Jesse Clanton, MD

Practitioner Surgery Physician Columbia, SC

Practice location

Address: 2 Medical Park Rd STE 300, Columbia, SC 29203-6839
Phone: (803) 545-5800
Fax: (803) 929-0492
Mailing address: 3110 Maccorkle Ave SE, Charleston, WV 25304-1210

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 26438 (WV)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023246295
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2009
Record last updated: 9 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.