Individual
MRS. TOVVAH BUSHAY-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 TREE LN, SNELLVILLE, GA 30078-6782
(404) 695-5000
Mailing address
2242 TURNBURY GLEN WALK, SNELLVILLE, GA 30078-3079
(404) 642-3928
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN311878
GA
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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