Individual
CAMERON CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4005 S COBB DR SE, SMYRNA, GA 30080-6307
(770) 431-7955
Mailing address
2287 BRIARWOOD DR SW, CONYERS, GA 30094-5025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002005
GA
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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