Individual
HOLLY RENEE CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 HAWTHORNE LN STE A, SULLIVAN, IL 61951-9490
(217) 728-8441
(217) 728-8678
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-5500
(478) 784-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036160654
IL
207Q00000X
Family Medicine Physician
68597
AZ
207Q00000X
Family Medicine Physician
71921
GA
Other
Enumeration date
06/28/2011
Last updated
12/11/2023
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