Individual
NANCY CLARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 879-4776
(706) 879-4781
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN051923
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348158570G
—
GA
Enumeration date
02/13/2007
Last updated
12/20/2018
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