Individual provider · Type 1 NPI

Michael Avery Clemens

Specialist · Vienna, VA

NPI number 1801115258 Active

Practice location

8290 Old Courthouse Rd Ste D
Vienna, VA 22182-3837

Fax (703) 448-0468

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0101043568 (VA)

Specialist: 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.

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About NPI 1801115258

Michael Avery Clemens's National Provider Identifier is 1801115258, issued on May 25, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vienna, VA. The record was last updated on May 25, 2010.