MR. Roger Fair Clem, CCC-A

NPI #1457481491 in Fort Oglethorpe, Georgia

Provider Information

NPI Number: 1457481491
Entity Type: Individual
Name: MR. Roger Fair Clem, CCC-A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Audiologist
Credential: CCC-A
Enumeration Date: Mar 7, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 140 BATTLEWOOD DR
City: Fort Oglethorpe
State: Georgia
ZIP Code: 30742-4006
Phone: (706) 861-7070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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