SearchGeorgia106S00000X

Stella Clark

NPI 1841172640 · on the registry since 2025

Practice

Address
1557 Buford Dr # 491913
Lawrenceville, GA 30043
Phone
(501) 570-6378

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-23

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