Individual
DR. DEBRA-ANN MAURITA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 767-4549
(912) 767-4664
Mailing address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 767-4549
(912) 767-4664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237025
VA
Other
Enumeration date
12/02/2005
Last updated
01/16/2011
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