Individual
IRIS KALIN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1550 BRAMPTON AVE, STE B, STATESBORO, GA 30458-0886
(912) 623-2155
(912) 623-5156
Mailing address
1550 BRAMPTON AVE, STE B, STATESBORO, GA 30458-0886
(912) 623-2155
(912) 623-2156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73272
GA
Other
Enumeration date
06/26/2012
Last updated
05/03/2016
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