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Individual

ERNESTINE CLEMENTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1308 TUSCALOOSA AVE SW, BIRMINGHAM, AL 35211-1948
(205) 679-6325
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 316-7690

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.1712
AL

Other

Enumeration date
07/01/2015
Last updated
01/15/2019
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