Individual
JOSEPH WILLIAM CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1538 13TH. AVE, SUITE B300, COLUMBUS, GA 31901-3700
(706) 321-9300
(706) 321-9384
Mailing address
1538 13TH. AVE, SUITE B300, COLUMBUS, GA 31901-3700
(706) 321-9300
(706) 321-9384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001538
GA
363AS0400X
Surgical Physician Assistant
Primary
1538
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001103D
—
GA
Enumeration date
12/15/2006
Last updated
09/17/2019
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