Individual
MS. MARTHA SUSAN CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,WCC
Contact information
Practice address
1 FREEDOM WAY, 950 15TH STREET 4A 149A, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, 950 15TH STREET 4A 149A, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN170229
GA
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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