Individual
MRS. MARTHA PAUL CLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
901 GRIFFIN AVE, EASTMAN, GA 31023-6720
(478) 448-4106
Mailing address
RR 1 BOX 960, BLUE SPRINGS ROAD, PINEVIEW, GA 31071-9762
(478) 783-4563
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
CSA 3548
GA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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