Individual
ESTHER HARVEY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
Mailing address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 535-5555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9257
GA
363AM0700X
Medical Physician Assistant
Primary
9257
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9257
LICENSE NUMBER
GA
Enumeration date
06/04/2019
Last updated
11/04/2025
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