Individual
ANDY CARTER CLEMENTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 1ST ST, RHINE, GA 31077-3044
(229) 385-5351
Mailing address
PO BOX 100, RHINE, GA 31077-0100
(229) 385-5351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH16450
GA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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