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Individual

MR. BENJAMIN S CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
108C MCMEANS AVE, BAY MINETTE, AL 36507-3130
(251) 445-3391
(251) 445-3722
Mailing address
108C MCMEANS AVE, BAY MINETTE, AL 36507-3130
(251) 445-3391
(251) 445-3722

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-098021
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
318149
AL
Enumeration date
05/18/2006
Last updated
08/21/2024
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