| Doctor Name: | DR. MICHAEL W CLIFFORD |
| NPI Number: | 1508800475 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 037508 |
| Business Practice Address: | 11168 Columbia St Suite B Blakely, GA - 398233474 |
| Business Phone Number: | 2297234313 |
| Business Fax Number: | 2297233734 |
| Mailing Address: | 920 Cairo Rd, THOMASVILLE |
| State: | GA |
| Postal Code: | 317924255 |
| Phone Number: | 2292275500 |
| Fax Number: | 2292275505 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 06/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 037508 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |