CLYDE ALLEN VANCISE

FORT GORDON, GA
NPI1508293655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247000000X Technician, Health Information
Enumeration Date2013-10-03
Last Update Date2013-10-03
Business Address
Mr. CLYDE ALLEN VANCISE
300 W HOSPITAL RD
FORT GORDON, GA 30905-5741
Phone number: 706-787-8673
Mailing Address
Mr. CLYDE ALLEN VANCISE
300 W HOSPITAL RD
FORT GORDON, GA 30905-5741
Phone number: 706-787-8673