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Alvin H. Clair, M.D.P.C.

Dermatology in Atlanta, GA. Organization (NPI-2).

NPI number1104043967
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1104043967
Entity type
Organization (NPI-2)
Legal business name
Alvin H. Clair, M.D.P.C.
Organization subpart
No
Enumeration date
Apr 20, 2007
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology012152GAYes

Practice location

777 Cleveland Ave.,sw Ste.500
Atlanta, GA 30315

Phone 404-763-3506 · Fax 404-763-4076

Mailing address

777 Cleveland Ave.,sw Ste.500
Atlanta, GA 30315

Phone 404-763-3506 · Fax 404-763-4076

Authorized official

Cindy Brown Tarpley
Admin.Asst.
4047633506

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology Physician providers in Atlanta, GA

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