Individual
MRS. DESIREE CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2400 MOUNT ZION PKWY, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, JONESBORO, GA 30236-2500
(770) 603-3649
Mailing address
3495 PIEDMONT RD NE, BUILDING NINE, ATLANTA, GA 30305-1773
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN163326
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119738246B
—
GA
Enumeration date
11/07/2006
Last updated
07/08/2007
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