Individual
ERIN ELIZABETH CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
122 GOLDEN WAY, TIFTON, GA 31794-1656
(334) 275-0370
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004461
GA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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