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Individual

AMANDA CLEMENTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3365 PEACHTREE CORNERS CIR APT G, NORCROSS, GA 30092-4399
(678) 773-0027
Mailing address
3365 PEACHTREE CORNERS CIR APT G, NORCROSS, GA 30092-4399
(678) 773-0027

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002266
GA

Other

Enumeration date
06/06/2014
Last updated
06/20/2016
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