Clinton Thomas Favre Jr.
Clinton Thomas Favre Jr. is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1364 Clifton Rd NEAtlanta, GA 30322-1020
Phone: (404) 778-1372
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1265263867 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 13, 2024 |
| Last updated in NPPES | May 2, 2025 |
| Certification date | May 2, 2025 |
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