Provider Demographics
NPI:1851366322
Name:CLEMENS, RUTH P (MD)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:P
Last Name:CLEMENS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3400 OLD MILTON PKWY
Mailing Address - Street 2:SUITE 360-C
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3707
Mailing Address - Country:US
Mailing Address - Phone:770-442-1200
Mailing Address - Fax:770-442-0100
Practice Address - Street 1:3400 OLD MILTON PKWY
Practice Address - Street 2:SUITE 360-C
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3707
Practice Address - Country:US
Practice Address - Phone:770-442-1200
Practice Address - Fax:770-442-0100
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA32160207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B74870Medicare UPIN