Clements Professional Association Pine Mountain | |
211 East Broad St Pine Mountain GA 31822-0516 | |
(706) 663-2574 | |
(706) 663-5954 |
Full Name | Clements Professional Association Pine Mountain |
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Speciality | General Practice |
Location | 211 East Broad St, Pine Mountain, Georgia |
Authorized Official Name and Position | Martha D Clements (VP SEC TRES AND MD) |
Authorized Official Contact | 7066632574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clements Professional Association Pine Mountain Po Box 516 Pine Mountain GA 31822-0516 Ph: (706) 663-2574 | Clements Professional Association Pine Mountain 211 East Broad St Pine Mountain GA 31822-0516 Ph: (706) 663-2574 |
NPI Number | 1801083134 |
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Provider Enumeration Date | 10/01/2007 |
Last Update Date | 01/24/2013 |
Identifier | Type | State | Issuer |
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1801083134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |