Individual
TRUDY BOVIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
950 LANEY WALKER BLVD, AUGUSTA, GA 30901-2960
(706) 721-5800
(706) 721-5903
Mailing address
950 LANEY WALKER BLVD, AUGUSTA, GA 30901-2960
(706) 721-5800
(706) 721-5903
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN182103
GA
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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