Individual
MRS. JELUNDER A WOODARD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1331 MOUNT ZION RD, MORROW, GA 30260-2357
(770) 629-3217
(404) 666-0085
Mailing address
1331 MOUNT ZION RD, MORROW, GA 30260-2357
(770) 629-3217
(404) 666-0085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042544
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000949627A
—
GA
Enumeration date
07/13/2006
Last updated
03/31/2023
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