Individual
MS. CAROL T MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
505 DRAYCOTT CT SW, ATLANTA, GA 30331-7676
(404) 629-6676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001868
GA
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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