Individual
MS. DENISE VERNALL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
258 S THOMAS STREET, ELBERTON, GA 30635
(706) 283-5837
(706) 283-5837
Mailing address
258 S THOMAS STREET, ELBERTON, GA 30635
(706) 283-5837
(706) 283-5837
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
35838
GA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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