Individual
PAUL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP PC
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9387
(205) 638-3091
Mailing address
1600 7TH AVE S STE 102, BIRMINGHAM, AL 35233-1711
(205) 638-9387
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-137604
AL
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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