Clemons, Amy Dawn
Clemons, Amy Dawn is an sole proprietor health care provider with primary practice located at 1555 Brampton Ave , Statesboro GA 30458-0856. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clemons, Amy Dawn can be contacted via phone (912) 480-9444.Contact Information
Primary practice address
1555 Brampton Ave
Statesboro GA 30458-0856
Phone: (912) 480-9444
Fax: (912) 228-4654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 057058 | Georgia |
Profile Details
| NPI number | 1225122435 |
|---|---|
| LBN Legal business name | Clemons, Amy Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jan 29th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225122435 | NPPES |
| Georgia | MEDICAID | 584491645A |
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