Search › Georgia › 101YM0800X
Kim Clarke
NPI 1467169466 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1658 Pineford Ct
Stone Mountain, GA 30088 - Phone
- (860) 997-6606
- Fax
- (860) 997-6606
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-31
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