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Chasity Clark, PA

NPI 1205385655 · on the registry since 2016

Practice

Address
405 Belcher St
Centreville, AL 35042
Phone
(205) 926-2992
Fax
(205) 316-7675
Organisation at this address
Cahaba Medical Care Foundation
Cahaba Medical Care Foundation
Cahaba Medical Care Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
86

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-27

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 Alabama