Organization
CLEMONS FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY D CLEMONS MD (PHYSICIAN/OWNER)
(912) 480-9444
Entity
Organization
Contact information
Practice address
1555 BRAMPTON AVE, STATESBORO, GA 30458-0856
(912) 682-7984
Mailing address
PO BOX 821, STATESBORO, GA 30459-0821
(912) 480-9444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584491645B
—
GA
Enumeration date
07/01/2022
Last updated
01/29/2023
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