Search › Georgia › 163WP0808X
Sydney Clark
NPI 1871225334 · on the registry since 2022
Practice
- Address
- 2473 Shallowford Rd Ne
Atlanta, GA 30345 - Phone
- (404) 636-0955
- Organisation at this address
- Shallowford Group Home
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-24
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