CLARENCE DAVID COURSON

COLUMBUS, GA
NPI1164568135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  003198)
Enumeration Date2007-01-29
Last Update Date2007-07-09
Business Address
-- CLARENCE DAVID COURSON PA
4519 WOODRUFF RD STE 4 PMB 318
COLUMBUS, GA 31904-6096
Phone number: 706-653-2255
Mailing Address
-- CLARENCE DAVID COURSON PA
4211 BRIDGEWATER DRIVE
PHENIX CITY, AL 36867
Phone number: 706-653-2255