DR. EDMUND ROBERT CLEMENT M.D. NPI 1912916537

NPI Information

  • NPI: 1912916537
  • Provider Name: DR. EDMUND ROBERT CLEMENT, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 3965 HOLCOMB BRIDGE RD
    SUITE100
    NORCROSS, GA
    ZIP 30092
  • Phone: (770) 448-8563

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NPI Details

DR. Edmund Robert Clement, M.D. is a specialist in Norcross, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Edmund Robert Clement, M.D. NPI is 1912916537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3965 HOLCOMB BRIDGE RD
SUITE100
NORCROSS, GA
ZIP 30092-207
Phone: (770) 448-8563
Fax: (770) 242-8948

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist032158GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107BBCQLMEDICARE ID-TYPE UNSPECIFIEDGEORGIAID #
2B72261MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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