Individual
DR. SHERRI BENNETT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4745 CHACE CIR, SUITE 101, HOOVER, AL 35244-3711
(205) 733-7110
(205) 733-7859
Mailing address
4745 CHACE CIR, SUITE 101, HOOVER, AL 35244-3711
(205) 733-7110
(205) 733-7859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12122
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129690
—
AL
05
—
SC00078589
—
AL
Enumeration date
09/06/2006
Last updated
01/03/2014
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