Provider Demographics
NPI:1669715389
Name:ANTOURY, CLARA M (MD)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:M
Last Name:ANTOURY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3280 HOWELL MILL RD NW STE T100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4122
Mailing Address - Country:US
Mailing Address - Phone:404-355-3200
Mailing Address - Fax:404-350-8795
Practice Address - Street 1:1265 HIGHWAY 54 W STE 402
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4537
Practice Address - Country:US
Practice Address - Phone:404-355-3200
Practice Address - Fax:404-350-8795
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2024-12-20
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Provider Licenses
StateLicense IDTaxonomies
GA99595207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology