Clewley, Derek J.

Clewley, Derek J. is an individual health care provider with primary practice located at 860 Johnson Ferry Rd Ne Suite 100, Atlanta GA 30342-1435. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Clewley, Derek J. can be contacted via phone (404) 252-5545.

Contact Information

Primary practice address
860 Johnson Ferry Rd Ne Suite 100 Atlanta GA 30342-1435
Phone: (404) 252-5545
Fax: (404) 252-5511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6739 Tennessee

Profile Details

NPI number 1649220203
LBN Legal business name Clewley, Derek J.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 18th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649220203 NPPES
Tennessee MEDICAID 3653045

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