Individual
ANDREW R CLEMENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1863 MEMORIAL DR SE, ATLANTA, GA 30317-2103
(470) 717-0719
Mailing address
1220 CAROLINE ST NE STE A-230, ATLANTA, GA 30307-2749
(678) 710-3980
(404) 778-6901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83828
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
09/30/2022
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