Individual
JOANNA HOPKINS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
777 FRANKLIN RD SE, MARIETTA, GA 30067-7803
(770) 732-6007
(770) 732-8242
Mailing address
777 FRANKLIN RD SE, MARIETTA, GA 30067-7803
(770) 732-6007
(770) 732-8242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60471
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104606B
—
GA
05
—
818552480A
—
GA
Enumeration date
06/23/2006
Last updated
07/25/2012
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