Individual
DIAMOND K CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 GA HIGHWAY 49 S, OGLETHORPE, GA 31068-8308
(478) 244-2178
Mailing address
3430 GA HWY 49 SOUTH, OGLETHORPE, GA 31068
(478) 244-2178
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
324255
GA
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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