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Search › Georgia › 363LF0000X

Diaz Clark, FNP

NPI 1164185468 · on the registry since 2021 · sole proprietor

Practice

Address
101 Lexington Cir
Peachtree City, GA 30269
Phone
(770) 534-6299
Organisation at this address
Cvs Minute Clinic
Georgia Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia