Individual
CLEMENT T TABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3165 MOSLEY CHASE DR, AUSTELL, GA 30106-2642
(770) 309-1795
Mailing address
3165 MOSLEY CHASE DR, AUSTELL, GA 30106-2642
(770) 309-1795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD
GA
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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