Individual
BENJAMIN WADE CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 6TH AVE N, BESSEMER, AL 35020-4849
(205) 434-2031
Mailing address
1012 HESPER AVE, METAIRIE, LA 70005-1552
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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