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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649220203 | NPPES |
| Tennessee | MEDICAID | 3653045 |
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