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Individual

CLEMENT C NWOSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1122 GRAY HWY, STE 4, MACON, GA 31211-1869
(478) 745-8309
(478) 745-8364
Mailing address
1122 GRAY HWY, STE 4, MACON, GA 31211-1869
(478) 745-8309
(478) 745-8364

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
033504
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000442516A
GA
05
000442516B
GA
Enumeration date
12/05/2006
Last updated
02/27/2013
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