Individual
MRS. KIMBERLY J CLARKBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., BSN
Contact information
Practice address
2501 HIGHWAY ONE NORTH, LOUISVILLE, GA 30434
(478) 625-3716
Mailing address
311 ROY SMITH RD, SPARTA, GA 31087-3947
(706) 444-5405
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN162713
GA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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