Individual
JULIE J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
682 HEMLOCK ST STE 290, MACON, GA 31201-8312
(478) 633-7044
Mailing address
682 HEMLOCK ST STE 290, MACON, GA 31201-8312
(478) 633-7044
(478) 633-4295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN081345
GA
Other
Enumeration date
08/19/2009
Last updated
08/18/2020
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