Individual
AMY DAWN CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1555 BRAMPTON AVE, STATESBORO, GA 30458-0856
(912) 480-9444
(912) 228-4654
Mailing address
PO BOX 821, STATESBORO, GA 30459-0821
(912) 480-9444
(912) 228-4654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
057058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584491645A
—
GA
Enumeration date
10/03/2006
Last updated
01/29/2023
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