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Zackary Clemons
NPI 1205265246 · on the registry since 2013
Practice
- Address
- 220 Ben Burton Cir Ste Aandb
Bogart, GA 30622 - Phone
- (678) 942-6334
- Fax
- (706) 243-4760
- Organisation at this address
- Halifax Ems Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Also registered as
- Vehicle Modifications Contractor
Driver - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia