Individual
MILDRED IONA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
COAHOMA TOWN HALL (CITY HALL), 325 CHERRY ST CIRCLE 38617, COAHOMA MISS., MS 38617
(662) 337-2964
Mailing address
599 ST. MARKS AVE, BKLYN N.Y., NY 11216
(718) 759-1574
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
098478
NY
207V00000X
Obstetrics & Gynecology Physician
V009.
MS
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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