IndividualActive
Clyde Vancise
NPI 1508293655 · Health Information Technician · Fort Gordon, GA
Provider details
- NPI number
- 1508293655
- Entity type
- Individual
- Primary specialty
- Health Information TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Phone: (706) 787-8673
Fax: (706) 787-0105
Approximate (ZIP-level) locationGet directions
Mailing address
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Registry dates
- Enumerated
- 2013-10-03
- Last updated
- 2013-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.