Search › Georgia › 363L00000X
Raven Clark, NP
NPI 1427776160 · on the registry since 2022 · sole proprietor
Practice
- Address
- 100 Piedmont Rd Ne
Marietta, GA 30066 - Phone
- (770) 795-9844
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-06
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