Organization
ADVANCED MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKALE CLARK R.N (PRESIDENT/OWNER)
(678) 910-2931
Entity
Organization
Contact information
Practice address
5518 WIND RIVER LN, POWDER SPRINGS, GA 30127-9528
(678) 910-2931
Mailing address
5518 WIND RIVER LN, POWDER SPRINGS, GA 30127-9528
(678) 910-2931
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/14/2006
Last updated
09/11/2025
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