Individual
DR. EDMUND ROBERT CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3965 HOLCOMB BRIDGE RD, SUITE100, NORCROSS, GA 30092-2207
(770) 448-8563
(770) 242-8948
Mailing address
3965 HOLCOMB BRIDGE RD, SUITE100, NORCROSS, GA 30092-2207
(770) 448-8563
(770) 242-8948
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
032158
GA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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