Clemons, Nichelle

Clemons, Nichelle is an sole proprietor health care provider with primary practice located at 3354 Mosswood Lane , Rex GA 30273-2169. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clemons, Nichelle can be contacted via phone (770) 960-6047.

Contact Information

Primary practice address
3354 Mosswood Lane Rex GA 30273-2169
Fax: (770) 960-1705
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPHO17206 Georgia
Pharmacy Service Providers / Pharmacist 183500000X PS29225 Florida

Profile Details

NPI number 1588874002
LBN Legal business name Clemons, Nichelle
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
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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