# CLEAN CLINIC OF GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386365435
- **Authorized official:** ERIC HAMMETT CRNA (MANAGER)
- **Authorized official phone:** (770) 298-8333

## Contact information

- **Practice address:** 7001 HODGSON MEMORIAL DR STE 5, SAVANNAH, GA 31406-2549
- **Practice address phone:** (912) 777-3759
- **Practice address fax:** (912) 550-4526
- **Mailing address:** 7001 HODGSON MEMORIAL DR STE 5, SAVANNAH, GA 31406-2549
- **Mailing address phone:** (912) 777-3759
- **Mailing address fax:** (912) 550-4526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2022
- **Last updated:** 09/07/2022