Organization
CLARK FAMILY CARE LLC
Active
Other names
Clark Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL CLARK FNP-C (FNP-C)
(912) 451-4100
Entity
Organization
Contact information
Practice address
715 W OGEECHEE ST, SYLVANIA, GA 30467-8693
(912) 451-4100
(912) 451-4105
Mailing address
PO BOX 194, SYLVANIA, GA 30467-0194
(912) 451-4100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
03/01/2023
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