Avis Clemons

NPI 1730428236 - Counselor - 101YM0800X

NPI Details
NPI 1730428236
Gender Female
Enumeration Date 02/05/2013
Last Updated 02/05/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
5300 MEMORIAL DR
SUITE 224A
STONE MOUNTAIN GA, 30083-3148, US
Phone (678) 497-5975
Fax (770) 908-2462
Business Location
5720 WYNDEMERE LN
STONE MOUNTAIN GA, 30087-2525, US
Phone (678) 497-5975
Fax (770) 908-2462
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
Remove 1730428236 NPI Number
 

According to our database, Mrs. Avis Clemons NPI is 1730428236, taxonomy code is 101YM0800X Avis Clemons physically located at 5300 Memorial Dr, Stone Mountain GA, 30083-3148. NPI Number Avis Clemons has the Individual type.

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1730428236 NPI number is provided on an as is basis without warranty of any kind. 1730428236 is maintained by the National Plan & Provider Enumeration System. The contents of Avis Clemons are for informational purposes only.