Individual
DR. KIMBERLY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D./PH.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(616) 308-8618
Mailing address
44 KILBERRY DR, PINEHURST, NC 28374-9736
(404) 824-1518
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013-00534
NC
Other
Enumeration date
05/24/2009
Last updated
08/20/2019
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