Individual provider · Type 1 NPI
Zackary Clemons
Contractor · Bogart, GA
Practice location
220 Ben Burton Cir Ste Aandb
Bogart, GA 30622-6851
Fax (706) 243-4760
Mailing address
342 Jones Rd
Jefferson, GA 30549-3183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vehicle Modifications Contractor | 171WV0202X | 0567890190 (GA) |
| Driver | 172A00000X | 056780190 (GA) |
| Contractor Primary | 171W00000X | 056780190 (GA) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
About NPI 1205265246
Zackary Clemons's National Provider Identifier is 1205265246, issued on Nov 8, 2013. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Bogart, GA. The record was last updated on Jul 10, 2025.