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Organization

ROSA E. CLEMENTE, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSA ESTIPONA CLEMENTE M.D. (NEPHROLOGIST)
(770) 228-5187
Entity
Organization

Contact information

Practice address
415 S 8TH ST, GRIFFIN, GA 30224-4208
(770) 228-3929
(770) 228-9837
Mailing address
415 S 8TH ST, GRIFFIN, GA 30224-4208
(770) 228-3929
(770) 228-9837

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
024918
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00265515A
GA
Enumeration date
04/15/2008
Last updated
04/15/2008
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