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NPI Profile for TEEN E CLEMONS in TOOMSBORO, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X |
| NPI # | 1467712737 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 05/21/2012 | |
| Last updated | 05/21/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TEEN E CLEMONS
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TEEN E CLEMONS, RN