Individual
DR. DELVEATRA DEVANCE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7748
Mailing address
3788 LAKE HAVEN WAY, ATLANTA, GA 30349-1888
(225) 907-7992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202209578
VA
183500000X
Pharmacist
18996
MD
183500000X
Pharmacist
Primary
45818
TX
Other
Enumeration date
11/17/2010
Last updated
03/01/2015
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