Clemons, Avis
Clemons, Avis is an sole proprietor health care provider with primary practice located at 5300 Memorial Dr Suite 224A, Stone Mountain GA 30083-3148. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clemons, Avis can be contacted via phone (678) 497-5975.Contact Information
Primary practice address
5300 Memorial Dr Suite 224A
Stone Mountain GA 30083-3148
Phone: (678) 497-5975
Fax: (770) 908-2462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1730428236 |
|---|---|
| LBN Legal business name | Clemons, Avis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2013 |
| Last updated | Feb 5th, 2013 - about 13 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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