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Individual

AMBER LEE CLEGHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D, CCC-A

Contact information

Practice address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 741-1800
(478) 743-8383
Mailing address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 741-1800

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3783
GA
231HA2400X
Assistive Technology Practitioner Audiologist
231HA2500X
Assistive Technology Supplier Audiologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
852365468A
GA
Enumeration date
02/23/2007
Last updated
12/16/2009
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