Dr. Beatrice Clodomir, D.O.
Pediatrics in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1760640924
StatusActive
Last updated in NPPESDec 26, 2023
Details
- NPI
- 1760640924
- Entity type
- Individual (NPI-1)
- Name
- Dr. Beatrice Clodomir
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2008
- Certification date
- Dec 26, 2023
- Last updated
- Dec 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 65531 | GA | Yes |
Practice location
5582 Memorial DrStone Mountain, GA 30083-3215
Phone 404-298-8998 · Fax 404-298-7658
Mailing address
5582 Memorial DrStone Mountain, GA 30083-3215
Phone 404-298-8998 · Fax 404-298-7658
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