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REBECCA BLACK CLEMENTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3400A OLD MILTON PARKWAY, SUITE 330, ALPHARETTA, GA 30005
(770) 751-6111
(770) 772-6099
Mailing address
3400A OLD MILTON PARKWAY, SUITE 330, ALPHARETTA, GA 30005
(770) 751-6111
(770) 772-6099

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
003587
GA
208000000X
Pediatrics Physician
Primary
67547
GA

Other

Enumeration date
06/23/2009
Last updated
04/03/2013
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