Individual
TEEN EILEEN CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
775 BEAVER DAM RD, TOOMSBORO, GA 31090-2344
(478) 233-0309
Mailing address
775 BEAVER DAM RD, TOOMSBORO, GA 31090-2344
(478) 233-0309
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
182832
GA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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