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Contact Information

A CARTER CLEMENTS JR
119 1ST ST
RHINE, GA31077-3044
 Phone: 229-385-5351
 Fax: 229-385-6807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for A CARTER CLEMENTS JR · (Female)

NPI # 1619945912
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2006
Last updated 03/11/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 004653
  • GA Medicaid 00035032A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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