Individual provider · Type 1 NPI

Clarence David Courson, PA

Surgical Physician Assistant · Columbus, GA

NPI number 1164568135 Active

Practice location

6262 Veterans Pkwy
Columbus, GA 31909-3540

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other practice locations

  • 4519 Woodruff Rd Ste 4 Pmb 318, Columbus, GA 31904-6096 · (706) 653-2255
  • 2300 Manchester Expy Ste A005, Columbus, GA 31904-6805 · (706) 322-6646
  • 2300 Manchester Expy Ste 101A, Columbus, GA 31904-6802 · (706) 322-6646
  • 512 N Shady Ln, Dothan, AL 36303-2991 · (334) 699-5747

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X003198 (GA)
Surgical Physician Assistant 363AS0400XPA.657 (AL)
Surgical Physician Assistant Primary 363AS0400X3198 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1164568135

Clarence David Courson, PA's National Provider Identifier is 1164568135, issued on Jan 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbus, GA. The record was last updated on Apr 3, 2025.