Individual
BRITTANY ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 FORRESTAL DR BLDG 33, NORFOLK, VA 23551-0001
(910) 449-9485
Mailing address
1775 FORRESTAL DR BLDG 33, NORFOLK, VA 23551-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001011697
NC
Other
Enumeration date
07/30/2021
Last updated
12/29/2021
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