Individual
CLYDE LEE CLEM IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3934 HILLSMAN LN, MARIETTA, GA 30062-8724
(770) 733-9707
Mailing address
3934 HILLSMAN LN, MARIETTA, GA 30062-8724
(770) 733-9707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010069
GA
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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