Clement, Desiree

Clement, Desiree is an individual health care provider with primary practice located at 2400 Mount Zion Pkwy Department Of Obstetrics And Gynecology, Jonesboro GA 30236-2500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Clement, Desiree can be contacted via phone (770) 603-3649.

Contact Information

Primary practice address
2400 Mount Zion Pkwy Department Of Obstetrics And Gynecology Jonesboro GA 30236-2500
Phone: (770) 603-3649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN163326 Georgia

Profile Details

NPI number 1871662429
LBN Legal business name Clement, Desiree
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871662429 NPPES
Georgia MEDICAID 119738246B

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