Individual
DR. JOE F CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST., GAINESVILLE, GA 30501
(770) 535-3553
(770) 533-8409
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-2418
(678) 312-2434
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
043580
GA
207RP1001X
Pulmonary Disease Physician
043580
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
043580
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000751165A
—
GA
05
—
000751165D
—
GA
01
—
C811723
MEDICARE PTAN
CO
Enumeration date
09/19/2005
Last updated
10/15/2020
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