ROSA E. CLEMENTE, M.D., P.C.
Osteopathic Medicine at 8 St, Griffin, GA

License number
Georgia 024918
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: DR. ROSA ESTIPONA CLEMENTE M.D.
Title: NEPHROLOGIST
Phone: (770) 228-5187
Address
Address
415 S 8Th St, Griffin, GA 30224
National Provider ID: 1003080607
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROSA E. CLEMENTE, M.D., PC

PO Box 1507, Griffin, GA 30224

Registration:
Apr 6, 2011
State ID:
11027760
Business type:
Domestic Professional Corporation
Secretary:
E Rosa Clemente (Secretary), PO Box 1507, Griffin, GA 30224 (Physical)
Agent:
Rosa Estipona Clemente,415 S 8 St, Griffin, GA (Physical)

ROSA E. CLEMENTE, M.D., PC

415 S 8 St, Griffin, GA

Status:
Inactive
Registration:
Nov 26, 2001
Inactive since:
Jul 9, 2005
State ID:
0152371
Business type:
Domestic Professional Corporation
Agent:
Dr. Rosa E. Clemente,415 S 8 St, Griffin, GA 30224 (Physical)

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