Individual
ANNIE ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6602 HAMPTON BEND CIR SE, OWENS CROSS ROADS, AL 35763-8200
(256) 603-9685
Mailing address
6602 HAMPTON BEND CIR SE, OWENS CROSS ROADS, AL 35763-8200
(256) 603-9685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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