Individual
CLAIRE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
837 BATTLE ST E, TALLADEGA, AL 35160-2670
(256) 649-8134
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-149905
AL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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