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Grace Clark, AGPCNP-B
NPI 1780030734 · on the registry since 2016
Practice
- Address
- 3825 Medical Park Dr
Suite 100
Austell, GA 30106 - Phone
- (770) 948-5578
- Organisation at this address
- Amita N Dave, Md Pc
Niranjan J Dave Md Pc
Jasmine Jeffers, Md, Llc
Wellstar Medical Group, Llc
Wellstar Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- Adult Health Nurse Practitioner
363LA2200X
- Also registered as
- Primary Care Nurse Practitioner
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-03
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