Individual
CARLA CLARK GAY
Active
Individual
CARLA CLARK GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
RN230655
GA
363LF0000X
Family Nurse Practitioner
Primary
RN230655
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003202402A
—
GA
Enumeration date
01/04/2018
Last updated
10/13/2025
Update your record
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