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Individual

CLINTON BRIF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
Mailing address
141 BLUELAKE BLVD, POOLER, GA 31322-9626

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001457
GA
363A00000X
Physician Assistant
Primary
10498
GA

Other

Enumeration date
04/04/2016
Last updated
08/02/2021
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