Provider Demographics
NPI:1225925092
Name:CLEMENT MEDICAL, PLLC
Entity type:Organization
Organization Name:CLEMENT MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:731-796-5737
Mailing Address - Street 1:6576 E DAVIDSON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH FULTON
Mailing Address - State:TN
Mailing Address - Zip Code:38257-7151
Mailing Address - Country:US
Mailing Address - Phone:731-796-5737
Mailing Address - Fax:
Practice Address - Street 1:6576 E DAVIDSON RD
Practice Address - Street 2:
Practice Address - City:SOUTH FULTON
Practice Address - State:TN
Practice Address - Zip Code:38257-7151
Practice Address - Country:US
Practice Address - Phone:731-796-5737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center