| Clementine Atlanta | |
|
124 Johnson Ferry Rd Ne Sandy Springs GA 30328-3004 | |
| (305) 663-1876 | |
| (786) 359-4485 |
| Full Name | Clementine Atlanta |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 124 Johnson Ferry Rd Ne, Sandy Springs, Georgia |
| Authorized Official Name and Position | Mike Bagley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3056631876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clementine Atlanta 6100 Sw 76th St South Miami FL 33143-5002 Ph: (305) 663-1876 | Clementine Atlanta 124 Johnson Ferry Rd Ne Sandy Springs GA 30328-3004 Ph: (305) 663-1876 |
| NPI Number | 1275161192 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275161192 | NPI | - | NPPES |
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