NPI 1508293655

Clyde Allen Vancise

Practitioner Health Information Technician Fort Gordon, GA

Practice location

Address: 300 W Hospital Rd, Fort Gordon, GA 30905-5741
Phone: (706) 787-8673
Fax: (706) 787-0105

Registered specialties

Health Information Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247000000X

Other Technician, Health Information providers in Georgia →

Registry record

NPI: 1508293655
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2013
Record last updated: 3 Oct 2013

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.