Individual
LAUREN F CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
259 US HIGHWAY 19 N, CAMILLA, GA 31730-1410
(229) 336-1949
Mailing address
259 US HIGHWAY 19 N, CAMILLA, GA 31730-1410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
073457
GA
207Q00000X
Family Medicine Physician
OS 12938
FL
Other
Enumeration date
04/28/2013
Last updated
08/07/2015
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