CHARLI HICKS CLEMENTS

CONYERS, GA
NPI1467082214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: GA  RN238981)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: GA  RN238981)
Enumeration Date2020-01-21
Last Update Date2020-01-24
Business Address
CHARLI HICKS CLEMENTS
1288 WELLBROOK CIR NE
CONYERS, GA 30012-8032
Phone number: 678-369-6934
Mailing Address
CHARLI HICKS CLEMENTS
1100 WANDA CT
MONROE, GA 30655-8354
Phone number: