| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801083134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |