Individual
CLARE IDEHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3896 PRINCETON LAKES WAY SW, ATLANTA, GA 30331-5510
(404) 489-4444
Mailing address
3896 PRINCETON LAKES WAY SW, ATLANTA, GA 30331-5510
(404) 489-4444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
104775
GA
208000000X
Pediatrics Physician
Primary
104775
GA
Other
Enumeration date
03/23/2021
Last updated
06/22/2025
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