Individual
CAROLYN CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4396 SHORE DR, ASHVILLE, AL 35953-8003
(352) 641-0255
Mailing address
4396 SHORE DR, ASHVILLE, AL 35953-8003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-203097
AL
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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