Cameron Taylor Clary

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

S12354 Issued in AL

Practice address

650 Clinic Drive
Mobile, AL 36608

Phone

(251) 445-9300

NPI assigned

Jan 18, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1124592514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SILVER LN",
            "city": "GREENSBORO",
            "state": "AL",
            "postal_code": "367445245",
            "telephone_number": "334-507-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CLINIC DRIVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-445-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "CAMERON",
        "middle_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "S12354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Lee Clark, PHARM. D
• Lauren Wilson Clarke, CRNP
• Mecquicael Clarke, CRNP
• Ronald W Clarke, MD
• David R Clarkson, M.D.
• Fred Hestle Clausell Jr., D.M.D.
• Terry Bradly Clay, M.D.
• Adrienne Clayton, APRN
• Brandi Robbins Clayton, NP-C
• Stanley Alan Clayton, FNP

• Student in an Organized Health Care Education/Training Program in Mobile, AL
• Providers in Mobile, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.