Individual
KATHLEEN MACKENZIE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
175 WHITE ST NW STE 100, MARIETTA, GA 30060-1054
(470) 793-0200
Mailing address
175 WHITE ST NW STE 100, MARIETTA, GA 30060-1054
(470) 793-0200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
217411
GA
Other
Enumeration date
11/03/2016
Last updated
04/01/2021
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