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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

NPI # 1619945912
LBN Legal business name A CARTER CLEMENTS JR
Authorized official ANDY CLEMENTS - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2006
Last updated 03/11/2024 - About 2 years ago
Identifiers
GA License # 004653
GA Medicaid 00035032A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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