Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACKARY CLEMONS
ActiveZACKARY CLEMONS is a Contractor healthcare provider located in BOGART, Georgia. NPI 1205265246 is currently active in the NPPES registry. Verify at CMS.
Contractor · BOGART, GA
Registration Details
- NPI Number
- 1205265246
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2013 (12.785288776297 yrs)
- Last Updated
- Jul 10, 2025
- Licenses
-
0567890190 (GA)056780190 (GA)056780190 (GA)
Practice Information
- Address
-
220 BEN BURTON CIR STE AANDBBOGART, GA, 306226851Browse GA providers · Browse ZIP 30622
- Phone
- 6789426334
- Fax
- 7062434760
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Driver
- Additional Specialty
- Contractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.