Individual
CALLIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 INDEPENDENCE PLAZA, STE 900, BIRMINGHAM, AL 35209
(205) 271-8000
(205) 271-8050
Mailing address
1 INDEPENDENCE PLAZA, STE 900, BIRMINGHAM, AL 35209-2643
(205) 271-8000
(205) 271-8050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1166451
AL
363L00000X
Nurse Practitioner
Primary
1-166451
AL
363L00000X
Nurse Practitioner
1166451
AL
Other
Enumeration date
03/25/2019
Last updated
11/02/2022
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