NPI 1003508755

Edward Jacob Clemons, DDS

Practitioner Student in an Organized Health Care Education/Training Program Atlanta, GA

Practice location

Address: 1015 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318-6653
Phone: (404) 523-6571

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Georgia →

Registry record

NPI: 1003508755
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2023
Record last updated: 22 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.