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1881357127
NICHOLAS BENJAMIN CLEMMONS
ATHENS, GA
NPI
1881357127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA rn227788)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
NICHOLAS BENJAMIN CLEMMONS
818 TABBY LN
ATHENS, GA 30605-7058
Phone number: 229-449-4524
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Mailing Address
NICHOLAS BENJAMIN CLEMMONS
818 TABBY LN
ATHENS, GA 30605-7058
Phone number:
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